Organization
HOSPITAL MEDICAL TEAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA TERESA EVANGELISTA-DEAN M.D. (MEDICAL DIRECTOR)
(225) 776-0429
Entity
Organization
Contact information
Practice address
59355 RIVER WEST DR, PLAQUEMINE, LA 70764-6553
(225) 776-0429
(225) 687-2556
Mailing address
25390 PECAN TREE LN, PLAQUEMINE, LA 70764-4524
(225) 776-0429
(225) 687-2556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.200495
LA
Other
Enumeration date
09/06/2007
Last updated
08/08/2008
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