Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDDIE JOSEPH FANDAL JR., MD
Active Sole ProprietorFREDDIE JOSEPH FANDAL JR., MD is a Family Medicine healthcare provider located in PORT BARRE, Louisiana. NPI 1538128285 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORT BARRE, LA
Registration Details
- NPI Number
- 1538128285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2006 (20.216192150339 yrs)
- Last Updated
- Dec 8, 2010
- License
-
024781 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17695 HWY 190PORT BARRE, LA, 70577Browse LA providers · Browse ZIP 70577
- Phone
- 3375857898
- Fax
- 3375857899
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PORT BARRE, LA
| Name | Credential | NPI |
|---|---|---|
| ELIZA TATE | MD | 1184010605 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.