Individual
DR. MARIA DE LOS ANGELES PONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 MEDICAL CENTER DR, SUITE 306, SLIDELL, LA 70461-5544
(985) 643-3033
(985) 643-3099
Mailing address
105 MEDICAL CENTER DR STE 306, SLIDELL, LA 70461-5539
(985) 649-0076
(985) 643-3099
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD.13867R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124265
—
MS
05
—
1183296
—
LA
Enumeration date
11/12/2006
Last updated
10/11/2007
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