Healthcare Provider Details

I. General information

NPI: 1326676511
Provider Name (Legal Business Name): PATRICK ST. MARTIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 VERRET ST
HOUMA LA
70360-4636
US

IV. Provider business mailing address

818 VERRET ST
HOUMA LA
70360-4636
US

V. Phone/Fax

Practice location:
  • Phone: 985-857-8001
  • Fax: 985-857-8330
Mailing address:
  • Phone: 985-857-8001
  • Fax: 985-857-8330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number331371
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number331371
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: