Provider Demographics
NPI:1174765499
Name:DOCTORS CHOICE INC.
Entity type:Organization
Organization Name:DOCTORS CHOICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-552-2794
Mailing Address - Street 1:201 SAINT CHARLES AVE STE 114
Mailing Address - Street 2:SUITE 278
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70170-0114
Mailing Address - Country:US
Mailing Address - Phone:504-552-2794
Mailing Address - Fax:504-552-2794
Practice Address - Street 1:201 SAINT CHARLES AVE STE 114
Practice Address - Street 2:SUITE 278
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70170-0114
Practice Address - Country:US
Practice Address - Phone:504-552-2794
Practice Address - Fax:504-552-2794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty