Provider Demographics
NPI:1447475645
Name:PEAIRS, PATRICIA TRELOAR (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:TRELOAR
Last Name:PEAIRS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16666 HUBBS RD
Mailing Address - Street 2:
Mailing Address - City:PRIDE
Mailing Address - State:LA
Mailing Address - Zip Code:70770-9786
Mailing Address - Country:US
Mailing Address - Phone:225-654-9148
Mailing Address - Fax:225-658-8903
Practice Address - Street 1:16666 HUBBS RD
Practice Address - Street 2:
Practice Address - City:PRIDE
Practice Address - State:LA
Practice Address - Zip Code:70770-9786
Practice Address - Country:US
Practice Address - Phone:225-654-9148
Practice Address - Fax:225-658-8903
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018814208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics