MEDICARE: DR. ERIC CHARLES DUPREE 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	207P00000X	Emergency Medicine Physician	MD.024984	LA
2	207Q00000X	Family Medicine Physician	L024984	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1508805532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC CHARLES DUPREE M.D.

Provider Business Mailing Address
First Line	:	1102 N PINE RD
Second Line	:
City	:	OLLA
State	:	LA
Zip	:	71465-4804
Country	:	US
Telephone Number	:	318-495-3131
Fax Number	:	318-495-0749

Provider Business Practice Location Address
First Line	:	1102 N PINE RD
Second Line	:
City	:	OLLA
State	:	LA
Zip	:	71465-4804
Country	:	US
Telephone Number	:	318-495-3131
Fax Number	:	318-495-0749

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	02/14/2025

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