Healthcare Provider Details

I. General information

NPI: 1902425291
Provider Name (Legal Business Name): ANTHONY DUGARTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4228 HOUMA BLVD STE 600B
METAIRIE LA
70006-3023
US

IV. Provider business mailing address

4228 HOUMA BLVD STE 600B
METAIRIE LA
70006-3023
US

V. Phone/Fax

Practice location:
  • Phone: 504-454-2191
  • Fax:
Mailing address:
  • Phone: 504-454-2191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number351648
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: