Healthcare Provider Details

I. General information

NPI: 1013863380
Provider Name (Legal Business Name): CHRISTINE PFISTER ABIDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 W CAUSEWAY APPROACH
MANDEVILLE LA
70471-3043
US

IV. Provider business mailing address

8063 BEDICO TRAIL LN
MADISONVILLE LA
70447-3275
US

V. Phone/Fax

Practice location:
  • Phone: 985-674-2227
  • Fax:
Mailing address:
  • Phone: 985-674-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number203421
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: