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NPI 1174589758

NPI 1174589758 : TERRY CREEL M.D : METAIRIE, LA

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General NPI Number Information
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    NPI Number           |    1174589758
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    Entity Type          |    Individual 
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    Provider Name        |    TERRY CREEL M.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/24/2006
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    Last Update Date     |    02/21/2025
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Provider Practice Location Address
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    Address Line         |    4200 HOUMA BLVD EMERGENCY DEPARTMENT
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70006-2970
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    Country              |    US
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    Telephone            |    210-614-0180
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    Fax                  |    210-566-5698
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Provider Business Mailing Address
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    Address Line         |    4200 HOUMA BLVD 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70006-2970
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    Country              |    US
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    Telephone            |    45-503-5684
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    Fax                  |    504-503-5428
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207PE0004X
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    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
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    License Number       |    018184
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    License Number State |    LA
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