person
Jorge L Cruz, MD
General Practice Physician in Slidell, Louisiana
NPI 1891989380

Jorge L Cruz is a General Practice Physician based in Slidell, LA. Jorge L Cruz practices in Slidell, LA and has the professional credentials of MD. The NPI Number for Jorge L Cruz is 1891989380 and holds a License No. MD.201422 (Louisiana).

The current practice location address for Jorge L Cruz is 2104 Gause Blvd W, Slidell, LA and can be reached out via phone at 985-643-4512 and via fax at 985-643-4513.

Location: 2104 Gause Blvd W, Slidell, LA, 70460-4130
person
Provider Profile Details
NPI Number
1891989380
Provider Name
Jorge L Cruz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2104 Gause Blvd W, Slidell, LA, 70460-4130
Phone Number
985-643-4512
Fax Number
985-643-4513
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508012 05 LA
institution
Provider Business Practice Location Address Details
Address
2104 Gause Blvd W
City
State
Zip
70460-4130
Phone Number
985-643-4512
Fax Number
985-643-4513
person
Provider Business Mailing Address Details
Address
2104 Gause Blvd W
City
State
Zip
70460-4130
Phone Number
985-643-4512
Fax Number
985-643-4513
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD.201422 (Louisiana)
Definition
Definition to come...
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