MEDICARE: DR. CLARE FARRELL 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	261QU0200X	Urgent Care Clinic/Center	206595	LA
2	207Q00000X	Family Medicine Physician	MD.206595	LA

General Provider Information

NPI Number	:	1710252069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLARE FARRELL M.D.

Provider Business Mailing Address
First Line	:	5839 ARGONNE BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-3731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7030 CANAL BLVD FL 2
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-3410
Country	:	US
Telephone Number	:	504-503-6760
Fax Number	:	504-503-6761

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

Provider Enumeration Date	:	03/20/2012
Last Update Date	:	09/24/2020

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