Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 326174 | LA |
N | 207L00000X | Anesthesiologist | 64414 | MN |
NPI | 1003348590 |
---|---|
Provider Name | Paul Albares |
First Address | Alexandria, LA 71301-3432 |
Second Address | Alexandria, LA 71301-8421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2017 |
Last Update Date | 26/10/2021 |