MEDICARE: DR. CRITTY LILLETTE HYMES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	R3818	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	07-96527	OTHER	LA	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1659459683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRITTY LILLETTE HYMES M.D.

Provider Business Mailing Address
First Line	:	13328 HAYNE BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-1511
Country	:	US
Telephone Number	:	504-615-0558
Fax Number	:

Provider Business Practice Location Address
First Line	:	5640 READ BLVD
Second Line	:	SUITE 600
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-3140
Country	:	US
Telephone Number	:	504-246-8860
Fax Number	:	504-245-7972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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