Organization Name: | HOSPITAL MEDICAL TEAM, LLC |
NPI Number: | 1386838001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA TERESA EVANGELISTA-DEAN (MEDICAL DIRECTOR) |
Mailing Address: | 59355 River West Dr Plaquemine |
State: | LA US |
Postal Code: | 707646553 |
Phone Number: | 2257760429 |
Fax Number: | 2256872556 |
NPI Enumeration Date: | 09/06/2007 |
NPI Last Update Date: | 08/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD.200495 |
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. |