Organization Name: | NORTHSHORE OB-GYN, APMC |
NPI Number: | 1013972843 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OSCAR M MENDEZ (PRESIDENT/PHYSICIAN) |
Mailing Address: | 393 Highway 21 Suite 500-a Madisonville |
State: | LA US |
Postal Code: | 704473407 |
Phone Number: | 9858453564 |
Fax Number: | 9858453705 |
NPI Enumeration Date: | 04/17/2006 |
NPI Last Update Date: | 04/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 07195R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |