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NPI Code Detail

MEDICARE: DR. ANTOINETTE THERESA HARVEY-FIELDS MD

MEDICARE: DR. ANTOINETTE THERESA HARVEY-FIELDS MD
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
1207Q00000XFamily Medicine Physician24228LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235113762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTOINETTE THERESA HARVEY-FIELDS MD
Provider Business Mailing Address
First Line : 843 MILLING AVE
Second Line :
City : LULING
State : LA
Zip : 70070-4442
Country : US
Telephone Number : 985-785-5800
Fax Number : 958-785-5807
Provider Business Practice Location Address
First Line : 843 MILLING AVE
Second Line :
City : LULING
State : LA
Zip : 70070-4442
Country : US
Telephone Number : 985-785-5800
Fax Number : 958-785-5807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 05/20/2020

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