Provider Demographics
NPI:1356656011
Name:GARY V MERTZ, D.C. AND ASSOCIATES
Entity Type:Organization
Organization Name:GARY V MERTZ, D.C. AND ASSOCIATES
Other - Org Name:URGENT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:V
Authorized Official - Last Name:MERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-499-4318
Mailing Address - Street 1:3801 GENERAL DEGAULLE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-8207
Mailing Address - Country:US
Mailing Address - Phone:504-367-4545
Mailing Address - Fax:504-366-3104
Practice Address - Street 1:3801 GENERAL DEGAULLE DR
Practice Address - Street 2:SUITE B
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-8207
Practice Address - Country:US
Practice Address - Phone:504-367-4545
Practice Address - Fax:504-366-3104
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GARY V. MERTZ, D.C. AND ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1363111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty