Organization
ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
Active
Other names
Tulane University Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELONDER JOHNSON (MANAGER, TUMG CREDENTIALING)
(504) 988-1508
Entity
Organization
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-2300
(504) 988-3969
Mailing address
1430 TULANE AVE # 8422, NEW ORLEANS, LA 70112-2632
(504) 988-2300
(504) 988-3969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09015509
MS MEDICAID
MS
05
—
1167819
—
LA
01
—
529301530
AL MEDICAID
AL
Enumeration date
05/25/2006
Last updated
12/15/2025
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