Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD.205128 | LA |
N | 207PE0004X | Emergency Medical Services | M3287 | TX |
NPI | 1184651044 |
---|---|
Provider Name | Marc Joseph Labat |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121-2429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03104821 | (05) | MS |
1015792 | (05) | LA |
180969102 | (05) | TX |
180969104 | (05) | TX |
8AL414 | BCBS (01) | TX |
8W0181 | BCBS (01) | TX |
I55293 | (02) | TX |
P00650249 | RAILROAD (01) | TX |