Provider Demographics
NPI:1528295011
Name:ALEXANDRIA HEALTHCARE FOR WOMEN
Entity type:Organization
Organization Name:ALEXANDRIA HEALTHCARE FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OB. GYN.
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-445-3636
Mailing Address - Street 1:3302 MASONIC DR.
Mailing Address - Street 2:SUITE 4002
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301
Mailing Address - Country:US
Mailing Address - Phone:318-445-3636
Mailing Address - Fax:318-445-1818
Practice Address - Street 1:3302 MASONIC DR
Practice Address - Street 2:STE 4002
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3983
Practice Address - Country:US
Practice Address - Phone:318-445-3636
Practice Address - Fax:318-445-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14932R207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1152315Medicaid
LA5CF65Medicare PIN