Individual
GREGG MAURICE BARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-4640
(337) 470-4051
Mailing address
PO BOX 3780, TUPELO, MS 38803-3780
(318) 841-9500
(318) 841-9557
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
042172
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
09179R
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
M2897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189286101
—
TX
05
—
189286102
—
TX
01
—
189286103
CSHCN
TX
01
—
189286104
CSHCN
TX
01
—
2R9203
MEDICARE PIN
LA
01
—
8U7847
BCBS TX
TX
Enumeration date
06/17/2006
Last updated
04/21/2023
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