Healthcare Provider Details

I. General information

NPI: 1346244019
Provider Name (Legal Business Name): PATRICK H WARING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 01/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 METAIRIE RD UNIT 2A, SUITE 310
METAIRIE LA
70005-4050
US

IV. Provider business mailing address

PO BOX 679516
DALLAS TX
75267-9516
US

V. Phone/Fax

Practice location:
  • Phone: 504-455-2225
  • Fax: 504-342-2042
Mailing address:
  • Phone: 504-455-2225
  • Fax: 504-342-2042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number19392
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMD.019392
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: