SearchLouisiana106S00000X

Tarrion Parish

NPI 1811583024 · on the registry since 2020

Practice

Address
4201 N I 10 Service Rd W
Metairie, LA 70006
Phone
(855) 550-5308
Clinicians at this address
1,294

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana