Provider Demographics
NPI:1023183183
Name:MACARTHUR PRIMARY CARE CENTER
Entity Type:Organization
Organization Name:MACARTHUR PRIMARY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:DREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-368-4066
Mailing Address - Street 1:3712 MACARTHUR BLVD
Mailing Address - Street 2:#202
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114
Mailing Address - Country:US
Mailing Address - Phone:504-368-4066
Mailing Address - Fax:504-368-3400
Practice Address - Street 1:3712 MACARTHUR BLVD
Practice Address - Street 2:#202
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114
Practice Address - Country:US
Practice Address - Phone:504-368-4066
Practice Address - Fax:504-368-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty