# LOYOLA UNIVERSITY NEW ORLEANS STUDENT HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154904233
- **Authorized official:** MR. BRIAN P FATH (CONSULTANT)
- **Authorized official phone:** (504) 616-9710

## Contact information

- **Practice address:** 6363 SAINT CHARLES AVE \# 200, NEW ORLEANS, LA 70118-6195
- **Practice address phone:** (504) 616-9710
- **Practice address fax:** (504) 865-2382
- **Mailing address:** 6363 SAINT CHARLES AVE \# 200, NEW ORLEANS, LA 70118-6195
- **Mailing address phone:** (504) 616-9710
- **Mailing address fax:** (504) 865-2382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 05/05/2021