Healthcare Provider Details

I. General information

NPI: 1376640243
Provider Name (Legal Business Name): PATRICIA A. TOUPS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 02/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4919 JAMESTOWN AVE STE 101
BATON ROUGE LA
70808-3228
US

IV. Provider business mailing address

4919 JAMESTOWN AVE SUITE 101
BATON ROUGE LA
70808-3228
US

V. Phone/Fax

Practice location:
  • Phone: 800-508-5925
  • Fax: 800-508-5925
Mailing address:
  • Phone: 800-508-5925
  • Fax: 800-508-5925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number020920
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number020920
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: