Organization
NORTHSHORE OB-GYN, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR M MENDEZ M.D. (PRESIDENT/PHYSICIAN)
(985) 845-3564
Entity
Organization
Contact information
Practice address
393 HIGHWAY 21, SUITE 500-A, MADISONVILLE, LA 70447-3407
(985) 845-3564
(985) 845-3705
Mailing address
393 HIGHWAY 21, SUITE 500-A, MADISONVILLE, LA 70447-3407
(985) 845-3564
(985) 845-3705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07195R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941077
—
LA
Enumeration date
04/17/2006
Last updated
04/18/2008
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