Provider Demographics
NPI:1114203346
Name:GENERAL MEYER MEDICAL CLINIC LLC
Entity Type:Organization
Organization Name:GENERAL MEYER MEDICAL CLINIC LLC
Other - Org Name:GENERAL MEYER MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARQUET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-872-9421
Mailing Address - Street 1:3201 GENERAL MEYER AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-3201
Mailing Address - Country:US
Mailing Address - Phone:504-872-9421
Mailing Address - Fax:504-304-6582
Practice Address - Street 1:3201 GENERAL MEYER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-3201
Practice Address - Country:US
Practice Address - Phone:504-872-9421
Practice Address - Fax:504-304-6582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.024956261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care