Provider Demographics
NPI:1386627073
Name:TOCE, PAUL MARION JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MARION
Last Name:TOCE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:602 WATERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-8400
Mailing Address - Country:US
Mailing Address - Phone:337-232-5446
Mailing Address - Fax:225-655-2263
Practice Address - Street 1:911 WAREHOUSE RD
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:LA
Practice Address - Zip Code:70712
Practice Address - Country:US
Practice Address - Phone:337-232-5446
Practice Address - Fax:225-655-2263
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2012-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA17198207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA721284698OtherTAX IDENTIFICATION NUMBER
LA51945BC70OtherPTAN
LA721284698OtherTAX IDENTIFICATION NUMBER