Healthcare Provider Details

I. General information

NPI: 1609841428
Provider Name (Legal Business Name): M. GRAY NAPIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 03/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 S. TYLER STREET
COVINGTON LA
70433-2330
US

IV. Provider business mailing address

1202 S. TYLER STREET
COVINGTON LA
70433-2330
US

V. Phone/Fax

Practice location:
  • Phone: 985-898-4194
  • Fax: 985-898-4164
Mailing address:
  • Phone: 985-898-4194
  • Fax: 985-898-4164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number200812
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: