Provider Demographics
NPI: | 1689984080 |
---|---|
Name: | ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND |
Entity type: | Organization |
Organization Name: | ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | COO |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | MARGARET |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | REINA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | AA |
Authorized Official - Phone: | 504-988-6821 |
Mailing Address - Street 1: | 1430 TULANE AVE |
Mailing Address - Street 2: | TW22 |
Mailing Address - City: | NEW ORLEANS |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70112-2632 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 504-988-2300 |
Mailing Address - Fax: | 504-988-3969 |
Practice Address - Street 1: | 1428 N RAMPART ST |
Practice Address - Street 2: | |
Practice Address - City: | NEW ORLEANS |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70116-1912 |
Practice Address - Country: | US |
Practice Address - Phone: | 504-948-6701 |
Practice Address - Fax: | 504-948-6838 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-10-19 |
Last Update Date: | 2010-11-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty |