Organization
OCHSNER CLINIC LLC
Active
Parent organization
OCHSNER CLINIC LLC
Other names
Ochsner Jennings Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCHSNER CLINIC LLC
Authorized official
EDUARDO BENITEZ (DIRECTOR)
(504) 842-6933
Entity
Organization
Contact information
Practice address
1636 ELTON RD, JENNINGS, LA 70546-3648
(337) 656-7770
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798118
—
LA
Enumeration date
10/22/2019
Last updated
10/22/2019
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