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NPI Code Detail

MEDICARE: PATRICK P MCCASLIN M.D.

MEDICARE:   PATRICK P MCCASLIN  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
1207L00000XAnesthesiology Physician018132LA

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 : 1922001452
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK P MCCASLIN M.D.
Provider Business Mailing Address
First Line : 120 INNWOOD DR
Second Line :
City : COVINGTON
State : LA
Zip : 70433-9123
Country : US
Telephone Number : 985-892-3225
Fax Number : 985-234-0628
Provider Business Practice Location Address
First Line : 1202 S TYLER ST
Second Line :
City : COVINGTON
State : LA
Zip : 70433-2330
Country : US
Telephone Number : 985-898-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2005
Last Update Date : 10/30/2009

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Directions to “ PATRICK P MCCASLIN M.D.” Practice Location

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