Individual
DR. MARY BROOKES EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1430 TULANE AVE # SL-54, NEW ORLEANS, LA 70112-2632
(504) 988-2651
Mailing address
1118 ORANGE ST APT 1, NEW ORLEANS, LA 70130-4735
(504) 610-4137
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.201394
LA
2085R0204X
Vascular & Interventional Radiology Physician
201394
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201394
LICENSE
LA
Enumeration date
02/18/2008
Last updated
02/21/2026
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