| The Administrators Of The Tulane Educational Fund | |
|
200 Broadway Avenue, Suite 108 New Orleans LA 70118 | |
| (504) 988-8935 | |
| Not Available |
| Full Name | The Administrators Of The Tulane Educational Fund |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 200 Broadway Avenue, Suite 108, New Orleans, Louisiana |
| Authorized Official Name and Position | Delonder Johnson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5049881508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Administrators Of The Tulane Educational Fund 1430 Tulane Ave # 8422 New Orleans LA 70112-2632 Ph: (504) 988-1508 | The Administrators Of The Tulane Educational Fund 200 Broadway Avenue, Suite 108 New Orleans LA 70118 Ph: (504) 988-8935 |
| NPI Number | 1730791831 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730791831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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