Healthcare Provider Details

I. General information

NPI: 1902953888
Provider Name (Legal Business Name): CHRISTOPHER LOUIS PARIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 10/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1057 PAUL MAILLARD RD D1900
LULING LA
70070-4349
US

IV. Provider business mailing address

PO BOX 4176
HOUMA LA
70361-4176
US

V. Phone/Fax

Practice location:
  • Phone: 985-308-1604
  • Fax: 985-308-1604
Mailing address:
  • Phone: 985-887-6030
  • Fax: 985-872-0317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD.201453
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number21110
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD.201453
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: