Individual
PATRICK LEROY MCGAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-6885
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 675-6885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
023155
LA
207R00000X
Internal Medicine Physician
23155
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1492019
—
LA
Enumeration date
10/02/2006
Last updated
01/24/2014
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