Individual
MR. BRIAN W MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 S RYAN ST, LAKE CHARLES, LA 70601-5951
(337) 478-9331
(337) 478-9828
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
(337) 478-9828
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
200440
LA
2084P0800X
Psychiatry Physician
Primary
E-5729
AR
Other
Enumeration date
08/09/2005
Last updated
12/15/2021
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