Healthcare Provider Details

I. General information

NPI: 1376569764
Provider Name (Legal Business Name): COMPUTER MANAGMENT CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 HICKORY AVE
HARAHAN LA
70123-3106
US

IV. Provider business mailing address

621 HICKORY AVE
HARAHAN LA
70123-3106
US

V. Phone/Fax

Practice location:
  • Phone: 504-738-2434
  • Fax: 504-738-2430
Mailing address:
  • Phone: 504-738-2434
  • Fax: 504-738-2430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: RYAN DAVID KLOTZBACH
Title or Position: IT COORDINATOR
Credential:
Phone: 504-738-2431