Provider Demographics
NPI:1942929096
Name:GNO PRIMARY CARE SERVICES
Entity Type:Organization
Organization Name:GNO PRIMARY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:B
Authorized Official - Last Name:RUE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:504-905-7846
Mailing Address - Street 1:608 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-7036
Mailing Address - Country:US
Mailing Address - Phone:504-905-7846
Mailing Address - Fax:
Practice Address - Street 1:4417 LORINO ST STE 103
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6801
Practice Address - Country:US
Practice Address - Phone:504-905-7846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty