# OCEANS MISSISSIPPI MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1932679958
- **Authorized official:** MRS. LAURA F. TARANTINO (EVP, GENERAL COUNSEL)
- **Authorized official phone:** (972) 464-0022

## Contact information

- **Practice address:** 152 GATEWAY DR, BILOXI, MS 39531-4409
- **Practice address phone:** (337) 210-4477
- **Mailing address:** 3905 HEDGCOXE RD UNIT 250249, PLANO, TX 75025-0840
- **Mailing address phone:** (972) 464-0022
- **Mailing address fax:** (972) 464-0021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | Yes |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2018
- **Last updated:** 06/01/2023