Provider Demographics
NPI:1174028179
Name:HOWDESHELL, CODY BLAKE (MD)
Entity type:Individual
Prefix:DR
First Name:CODY
Middle Name:BLAKE
Last Name:HOWDESHELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 RAPATEL ST
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-2321
Mailing Address - Country:US
Mailing Address - Phone:325-660-6728
Mailing Address - Fax:
Practice Address - Street 1:27136 LA-23
Practice Address - Street 2:
Practice Address - City:PORT SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70083
Practice Address - Country:US
Practice Address - Phone:504-564-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA347781207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine