Healthcare Provider Details
I. General information
NPI: 1538566062
Provider Name (Legal Business Name): THERESE FRANCESCA POSAS-MENDOZA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/26/2014
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1341 OCHSNER BLVD
COVINGTON LA
70433-8172
US
IV. Provider business mailing address
20609 LA MESA CT
MANDEVILLE LA
70471-7212
US
V. Phone/Fax
- Phone: 985-875-2828
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 328399 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: