Marvin Barco Mata, M.D. Valid NPI

Individual provider · Pediatric Critical Care Medicine Physician · Lafayette, LA

NPI

1124281852

Type

Individual (Type 1)

Primary specialty

Pediatric Critical Care Medicine Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0203X

License number

MD203581 (LA)

Sex

Male

Sole proprietor

No

Enumerated

2008-07-02

Last updated

2024-08-02