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NPI Code Detail

MEDICARE: DR. PAUL JOSEPH FAILLA MD

MEDICARE: DR. PAUL JOSEPH FAILLA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician018202LA
2207RP1001XPulmonary Disease Physician018202LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831110857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL JOSEPH FAILLA MD
Provider Business Mailing Address
First Line : PO BOX 919237
Second Line :
City : DALLAS
State : TX
Zip : 75391-9237
Country : US
Telephone Number : 877-988-1890
Fax Number : 337-988-3059
Provider Business Practice Location Address
First Line : 5439 AIRLINE HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-1712
Country : US
Telephone Number : 225-358-2280
Fax Number : 225-358-2450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 03/28/2024

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