Provider Demographics
NPI:1477718815
Name:PAUL DRESCHNACK, MD, LLC
Entity Type:Organization
Organization Name:PAUL DRESCHNACK, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:DRESCHNACK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-899-0500
Mailing Address - Street 1:3600 SAINT CHARLES AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-7121
Mailing Address - Country:US
Mailing Address - Phone:504-899-0500
Mailing Address - Fax:504-899-0552
Practice Address - Street 1:3600 SAINT CHARLES AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-7121
Practice Address - Country:US
Practice Address - Phone:504-899-0500
Practice Address - Fax:504-899-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08862R208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty