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General NPI Number Information
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NPI Number | 1932147725
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Entity Type | Individual
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Provider Name | ERNEST DAVID AUTRY MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3311 PRESCOTT RD STE 410
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3985
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Country | US
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Telephone | 318-442-2400
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Fax | 318-442-2427
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Provider Business Mailing Address
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Address Line | 2900 SAINT MICHAEL DR STE 401
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City | TEXARKANA
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State | TX
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Zip | 75503-5211
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Country | US
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Telephone | 903-614-5372
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Fax | 903-614-5343
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD.05783R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 05783R
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | F7391
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | F7391
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 19635
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License Number State | GA
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