Basic Information
| Provider Information | |||||||||
| NPI: | 1902953888 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARIS | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | LOUIS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4176 | ||||||||
| Address2: | |||||||||
| City: | HOUMA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 703614176 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9858876030 | ||||||||
| FaxNumber: | 9858720317 | ||||||||
| Practice Location | |||||||||
| Address1: | 1057 PAUL MAILLARD RD | ||||||||
| Address2: | D1900 | ||||||||
| City: | LULING | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700704349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9853081604 | ||||||||
| FaxNumber: | 9853081604 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2007 | ||||||||
| LastUpdateDate: | 10/08/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | MD.201453 | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 207RC0000X | MD.201453 | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 21110 | MS | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 9848532 | 01 | MS | AETNA | OTHER | 09979777 | 05 | MS | MEDICAID | 6039137 | 01 | MS | HEALTHSPRING | OTHER | 1000931 | 05 | LA | MEDICAID | 8249484 | 01 | MS | CIGNA | OTHER |