MEDICARE: DR. ALLAN T PARR JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	020506	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	050081471	OTHER	LA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194795575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN T PARR JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 370
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70470-0370
Country	:	US
Telephone Number	:	985-809-1997
Fax Number	:	985-809-1664

Provider Business Practice Location Address
First Line	:	7015 HWY 190 E SERV RD
Second Line	:	101
City	:	COVINGTON
State	:	LA
Zip	:	70433-4960
Country	:	US
Telephone Number	:	985-809-1997
Fax Number	:	985-809-1664

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	03/03/2020

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