Organization
OCEANS MISSISSIPPI MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA F. TARANTINO (EVP, GENERAL COUNSEL)
(972) 464-0022
Entity
Organization
Contact information
Practice address
152 GATEWAY DR, BILOXI, MS 39531-4409
(337) 210-4477
Mailing address
3905 HEDGCOXE RD UNIT 250249, PLANO, TX 75025-0840
(972) 464-0022
(972) 464-0021
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
06/01/2023
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