Provider Demographics
NPI:1659790830
Name:PHARO, AUSTIN MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:MICHAEL
Last Name:PHARO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3715 PRYTANIA ST STE 504
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3766
Mailing Address - Country:US
Mailing Address - Phone:504-895-3223
Mailing Address - Fax:504-895-3224
Practice Address - Street 1:3715 PRYTANIA ST STE 504
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3766
Practice Address - Country:US
Practice Address - Phone:045-895-3223
Practice Address - Fax:504-895-3224
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2020-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA306772207X00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery