Provider Demographics
NPI:1750412946
Name:WARING, ANTONIO J II (MD)
Entity type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:J
Last Name:WARING
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 GAUSE BLVD # 75
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2939
Mailing Address - Country:US
Mailing Address - Phone:985-280-3609
Mailing Address - Fax:985-280-9651
Practice Address - Street 1:901 GAUSE BLVD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2948
Practice Address - Country:US
Practice Address - Phone:985-280-6780
Practice Address - Fax:985-280-6781
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2016-10-18
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Provider Licenses
StateLicense IDTaxonomies
LA017995207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1384585Medicaid
LA55396Medicare PIN
LA1384585Medicaid