Individual
ERIC NEAL TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2780 GAUSE BLVD E, SUITE A, SLIDELL, LA 70461-4149
(985) 641-5198
(985) 641-5398
Mailing address
2780 GAUSE BLVD E, SUITE A, SLIDELL, LA 70461-4149
(985) 641-5198
(985) 641-5398
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12278R
LA
207N00000X
Dermatology Physician
15605
MS
207N00000X
Dermatology Physician
G81348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119852
—
MS
05
—
1695149
—
LA
Enumeration date
04/11/2006
Last updated
09/11/2013
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