Individual
MIA H WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1620 BELLE CHASSE HWY STE 101, TERRYTOWN, LA 70056-7057
(504) 569-5327
(504) 323-3153
Mailing address
PO BOX 1156, GRETNA, LA 70054-1156
(504) 569-5327
(504) 323-3153
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.202558
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02105071
—
MS
05
—
1508403
—
LA
Enumeration date
03/07/2008
Last updated
12/12/2025
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