Individual
ERICA HARGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 392-3131
Mailing address
2902 ESPLANADE AVE, NEW ORLEANS, LA 70119-3116
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA. 200817
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04577511
—
MS
05
—
2402960
—
LA
Enumeration date
07/28/2015
Last updated
11/10/2015
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