Healthcare Provider Details

I. General information

NPI: 1477718815
Provider Name (Legal Business Name): PAUL DRESCHNACK, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 07/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 SAINT CHARLES AVE SUITE 101
NEW ORLEANS LA
70115-7121
US

IV. Provider business mailing address

3600 SAINT CHARLES AVE SUITE 101
NEW ORLEANS LA
70115-7121
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-0500
  • Fax: 504-899-0552
Mailing address:
  • Phone: 504-899-0500
  • Fax: 504-899-0552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number08862R
License Number StateLA

VIII. Authorized Official

Name: DR. PAUL ALAN DRESCHNACK
Title or Position: PRESIDENT
Credential: MD
Phone: 504-899-0500