Healthcare Provider Details

I. General information

NPI: 1710894563
Provider Name (Legal Business Name): RICHARD L O'BRIEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 HESIOD ST
METAIRIE LA
70005-3218
US

IV. Provider business mailing address

1620 HESIOD ST
METAIRIE LA
70005-3218
US

V. Phone/Fax

Practice location:
  • Phone: 504-460-9560
  • Fax:
Mailing address:
  • Phone: 504-460-9560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: