Healthcare Provider Details

I. General information

NPI: 1316928260
Provider Name (Legal Business Name): FRANK VOELKER III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 STARBRUSH CIR
COVINGTON LA
70433
US

IV. Provider business mailing address

1810 LINDBERG DR STE 2100
SLIDELL LA
70458-8064
US

V. Phone/Fax

Practice location:
  • Phone: 985-871-4155
  • Fax: 985-871-4483
Mailing address:
  • Phone: 985-649-2700
  • Fax: 985-649-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number019969
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number019969
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: