Healthcare Provider Details

I. General information

NPI: 1427218676
Provider Name (Legal Business Name): TORIA HALL BROWN M.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TORIA HALL KING M.D.,

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 08/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15790 PAUL VEGA MD DR
HAMMOND LA
70403-1436
US

IV. Provider business mailing address

15790 PAUL VEGA MD DR
HAMMOND LA
70403-1436
US

V. Phone/Fax

Practice location:
  • Phone: 985-230-1359
  • Fax: 985-230-6480
Mailing address:
  • Phone: 985-230-1359
  • Fax: 985-230-6480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD.203491
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: