Provider Demographics
NPI:1104883305
Name:OUBRE, DAVID NELSON (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NELSON
Last Name:OUBRE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15752 MEDICAL ARTS PLAZA
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403
Mailing Address - Country:US
Mailing Address - Phone:985-419-0025
Mailing Address - Fax:985-419-0035
Practice Address - Street 1:15752 MEDICAL ARTS PLAZA
Practice Address - Street 2:SUITE 101
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403
Practice Address - Country:US
Practice Address - Phone:985-419-0025
Practice Address - Fax:985-419-0035
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2023-12-22
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Provider Licenses
StateLicense IDTaxonomies
LA022330207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1665878Medicaid
LA5W828CS13Medicare PIN
LA1665878Medicaid