David J. Drez, Jr., M.D., a Medical Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

009625 Issued in LA

Legal business name

DAVID J. DREZ, JR., M.D., A MEDICAL CORP

Practice address

1 Hospital Dr
Suite 100
Jennings, LA 70546-3641

Phone

(337) 824-3819

Fax

(337) 824-0160

NPI assigned

Apr 16, 2015

Last updated

Apr 16, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David J Drez, Jr, M.D.

Title

Physician

Phone

(337) 824-3819

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1073900148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W CYPRESS LANDING DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055978",
            "telephone_number": "337-824-3819",
            "fax_number": "337-824-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463641",
            "telephone_number": "337-824-3819",
            "fax_number": "337-824-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. DREZ, JR., M.D., A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "DREZ, JR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-824-3819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "009625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Jennings, LA
• Providers in Jennings, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.