Individual
JUSTIN DAVID FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15813 PAUL VEGA MD DR STE 401A, HAMMOND, LA 70403-1426
(985) 230-1580
(985) 230-1585
Mailing address
15813 PAUL VEGA MD DR STE 401, HAMMOND, LA 70403-1426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.204656
LA
207RP1001X
Pulmonary Disease Physician
Primary
MD.204656
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106520
—
LA
Enumeration date
03/19/2010
Last updated
09/15/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us