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NPI Code Detail

MEDICARE: HENRY CARR PATRICK MD

MEDICARE: HENRY CARR PATRICK 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
1207RC0000XCardiovascular Disease Physician019599LA
2207RC0001XClinical Cardiac Electrophysiology Physician019599LA

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 : 1780685917
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY CARR PATRICK MD
Provider Business Mailing Address
First Line : 5231 BRITTANY DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-9100
Country : US
Telephone Number : 225-769-0933
Fax Number : 225-769-6255
Provider Business Practice Location Address
First Line : 5231 BRITTANY DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-9100
Country : US
Telephone Number : 225-769-0933
Fax Number : 225-769-6255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 04/27/2022

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