Individual provider · Type 1 NPI
Tyra Cole
Clinic/Center · Gretna, LA
NPI number
1992322010
Active
Practice location
405 Gretna Blvd Ste 112
Gretna, LA 70053-4945
Fax (504) 368-5906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1992322010
Tyra Cole's National Provider Identifier is 1992322010, issued on Jul 6, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gretna, LA. The record was last updated on Jul 14, 2020.