Healthcare Provider Details

I. General information

NPI: 1912965286
Provider Name (Legal Business Name): RICHARD B. FEUCHT II, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 E SAINT PETER ST
CARENCRO LA
70520-4009
US

IV. Provider business mailing address

206 E SAINT PETER ST
CARENCRO LA
70520-4009
US

V. Phone/Fax

Practice location:
  • Phone: 337-896-8422
  • Fax: 337-896-9116
Mailing address:
  • Phone: 337-896-8422
  • Fax: 337-896-9116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD B FEUCHT II
Title or Position: OWNER
Credential: M.D.
Phone: 337-896-8422