Tillery Family Practice Clinic
LBN: Comprehensive Medical Associates Of New Orleans, Llc
Tillery Family Practice Clinic is an health care organization with primary practice located at 4001 Gen Degaulle Dr Suite H, New Orleans LA 70114-8220. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Comprehensive Medical Associates Of New Orleans, Llc can be contacted via phone (504) 365-9906, or through Tillery, Bertrand via phone (504) 365-9906.
Contact Information
Primary practice address
4001 Gen Degaulle Dr Suite H
New Orleans LA 70114-8220
Phone: (504) 365-9906
Fax: (504) 365-9902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 025561 | Louisiana |
Profile Details
| NPI number | 1194870782 |
|---|---|
| LBN Legal business name | Comprehensive Medical Associates Of New Orleans, Llc |
| DBA Doing business as | Tillery Family Practice Clinic |
| Authorized official | Tillery, Bertrand Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Dec 22nd, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194870782 | NPPES |
| Louisiana | MEDICAID | 1576794 |
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