Individual
AUSTIN TUTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4096
Mailing address
930 NASHVILLE AVE APT A, NEW ORLEANS, LA 70115-3208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
330960
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2019
Last updated
11/15/2023
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