Individual
ERNEST DAVID AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 PRESCOTT RD STE 410, ALEXANDRIA, LA 71301-3985
(318) 442-2400
(318) 442-2427
Mailing address
2900 SAINT MICHAEL DR STE 401, TEXARKANA, TX 75503-5211
(903) 614-5372
(903) 614-5343
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
05783R
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
19635
GA
207V00000X
Obstetrics & Gynecology Physician
F7391
TX
207V00000X
Obstetrics & Gynecology Physician
MD.05783R
LA
208000000X
Pediatrics Physician
F7391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911049
—
AL
05
—
06323506
—
MS
05
—
1622664
—
LA
05
—
200290840 A
—
OK
05
—
205028803
—
TX
01
—
4J7137627
RAILROAD MEDICARE
LA
05
—
63730324
—
NM
Enumeration date
06/03/2006
Last updated
05/05/2025
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