Organization
WESTBANK UROLOGY
Active
Other names
Urologic Institute of New Orleans
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BAILES REYNON (ADMINISTRATOR)
(504) 393-5858
Entity
Organization
Contact information
Practice address
2600 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7156
(504) 394-7000
(504) 394-6757
Mailing address
2600 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7156
(504) 394-7000
(504) 394-6757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1795135
—
LA
01
—
692839
AETNA
LA
01
—
CP2626
MEDICARE RAILROAD
LA
Enumeration date
05/27/2005
Last updated
08/22/2020
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