Organization
COMPREHENSIVE MEDICAL ASSOCIATES OF NEW ORLEANS, LLC
Active
Other names
tillery family practice clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTRAND TILLERY JR. MD (PHYSICIAN)
(504) 365-9906
Entity
Organization
Contact information
Practice address
4001 GEN DEGAULLE DR, SUITE H, NEW ORLEANS, LA 70114-8220
(504) 365-9906
(504) 365-9902
Mailing address
4001 GEN DEGAULLE DR, SUITE H, NEW ORLEANS, LA 70114-8220
(504) 365-9906
(504) 365-9902
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
025561
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576794
—
LA
Enumeration date
01/24/2007
Last updated
12/22/2016
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