Individual
DR. PATRICIA C ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4701 WESTBANK EXPY, SUITE #7, MARRERO, LA 70072-3050
(504) 341-0906
(504) 349-3389
Mailing address
4701 WESTBANK EXPY, SUITE #7, MARRERO, LA 70072-3050
(504) 341-0906
(504) 349-3389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08129R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08129R
LA. STATE LICENSE #
LA
05
—
1911402
—
LA
01
—
5C660
MEDICARE
LA
01
—
721302376
PROVIDER TAXONOMIES #
LA
01
—
E14875
UPIN
LA
Enumeration date
06/26/2007
Last updated
07/11/2007
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