Organization
NORTH OAKS PHYSICIAN GROUP, LLC
Active
Other names
North Oaks Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANDERSON (CFO)
(985) 230-6602
Entity
Organization
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-3653
(985) 370-7409
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-3653
(985) 370-7409
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
000
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447587
—
LA
Enumeration date
12/22/2005
Last updated
03/31/2023
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