Individual
FEASTER F FITZPATRICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
8166 MAIN STREET, HOUMA, LA 70360
(985) 873-4141
(985) 851-4307
Mailing address
PO BOX 6037, HOUMA, LA 70361-6037
(985) 873-4235
(985) 851-4307
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
05843R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1343897
—
LA
Enumeration date
02/07/2006
Last updated
07/08/2007
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