Provider Demographics
NPI:1881689586
Name:MCCOY, DAVID M (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:MCCOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:211 4TH ST
Mailing Address - Street 2:BOX 30161
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8421
Mailing Address - Country:US
Mailing Address - Phone:318-767-0605
Mailing Address - Fax:318-767-0086
Practice Address - Street 1:201 4TH ST
Practice Address - Street 2:SUITE 2C
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8421
Practice Address - Country:US
Practice Address - Phone:318-767-0605
Practice Address - Fax:318-767-0086
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2022-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA09294R208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1933597Medicaid
LA020033892OtherRAILROAD MEDICARE
LAF42718Medicare UPIN
LA1933597Medicaid
LA020033892OtherRAILROAD MEDICARE