Healthcare Provider Details
I. General information
NPI: 1043402076
Provider Name (Legal Business Name): FOUCHER EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2007
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 FOUCHER ST
NEW ORLEANS LA
70115-3515
US
IV. Provider business mailing address
1717 MAIN ST SUITE 5200
DALLAS TX
75201-4612
US
V. Phone/Fax
- Phone: 504-897-7011
- Fax: 214-712-2444
- Phone: 214-712-2000
- Fax: 214-712-2444
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
L
MURPHY
Title or Position: EXECUTIVE VICE-PRESIDENT
Credential:
Phone: 214-712-2000