Basic Information
| Provider Information | |||||||||
| NPI: | 1003348590 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBARES | ||||||||
| FirstName: | PAUL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1444 PETERMAN DR | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 713013432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184425399 | ||||||||
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| Practice Location | |||||||||
| Address1: | 211 4TH ST | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 713018421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184425399 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2017 | ||||||||
| LastUpdateDate: | 10/26/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 64414 | MN | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 326174 | LA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.