Healthcare Provider Details

I. General information

NPI: 1821064619
Provider Name (Legal Business Name): DOCTOR KATZ, INC (A PROFESSIONAL MEDICAL CORPORATION)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 12/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 BARATARIA BLVD
MARRERO LA
70072-3703
US

IV. Provider business mailing address

1301 BARATARIA BLVD
MARRERO LA
70072-3703
US

V. Phone/Fax

Practice location:
  • Phone: 504-347-0243
  • Fax: 504-349-2910
Mailing address:
  • Phone: 504-347-0243
  • Fax: 504-349-2910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. RALPH P KATZ
Title or Position: DIRECTOR
Credential: MD
Phone: 504-347-0243