Healthcare Provider Details

I. General information

NPI: 1568469377
Provider Name (Legal Business Name): ESMOND ANTHONY BARKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ESMOND ANTHONY BARKER M.D.

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 02/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4212 W CONGRESS ST SUITE 1800 A
LAFAYETTE LA
70506-6765
US

IV. Provider business mailing address

PO BOX 61030
LAFAYETTE LA
70596-1030
US

V. Phone/Fax

Practice location:
  • Phone: 337-981-7677
  • Fax: 337-981-7678
Mailing address:
  • Phone: 337-981-7677
  • Fax: 337-981-7678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number11510R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: