Individual
JAMES T TEBBE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 N CARROLLTON AVE, SUITE 4, NEW ORLEANS, LA 70119-4753
(504) 842-7400
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.017772
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361364
—
LA
Enumeration date
06/21/2006
Last updated
03/25/2015
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