Healthcare Provider Details

I. General information

NPI: 1386616571
Provider Name (Legal Business Name): RICARDO FEBRY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3941 HOUMA BLVD STE 1A
METAIRIE LA
70006-2920
US

IV. Provider business mailing address

3941 HOUMA BLVD STE 1A
METAIRIE LA
70006-2920
US

V. Phone/Fax

Practice location:
  • Phone: 504-457-2200
  • Fax: 504-457-2207
Mailing address:
  • Phone: 504-457-2200
  • Fax: 504-457-2207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number09228R
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD.09228R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: