Provider Demographics
NPI:1184651044
Name:LABAT, MARC JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:JOSEPH
Last Name:LABAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-3460
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2429
Practice Address - Country:US
Practice Address - Phone:504-842-3460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3287207PE0004X
LAMD.205128207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W0181OtherBCBS
MS03104821Medicaid
TX180969104Medicaid
TX8AL414OtherBCBS
TXP00650249OtherRAILROAD
LA1015792Medicaid
TX180969102Medicaid
LA1015792Medicaid
TX8K3525Medicare PIN
TX8W0181OtherBCBS
TX8AL414OtherBCBS
LA4Q8667061Medicare PIN