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Tyra Cole
Clinic/Center in Gretna, Louisiana
NPI 1992322010

Tyra Cole is a Clinic/Center based in Gretna, LA. Tyra Cole practices in Gretna, LA. The NPI Number for Tyra Cole is 1992322010 and holds a License No. (Louisiana).

The current practice location address for Tyra Cole is 405 Gretna Blvd Ste 112, Gretna, LA and can be reached out via phone at 504-368-5905 and via fax at 504-368-5906.

Location: 405 Gretna Blvd Ste 112, Gretna, LA, 70053-4945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992322010
Provider Name
Tyra Cole
Credential
Provider Entity Type
Individual
Gender
Female
Address
405 Gretna Blvd Ste 112, Gretna, LA, 70053-4945
Phone Number
504-368-5905
Fax Number
504-368-5906
Provider Enumeration Date
07/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
405 Gretna Blvd Ste 112
City
Gretna
State
Louisiana
Zip
70053-4945
Phone Number
504-368-5905
Fax Number
504-368-5906
person
Provider Business Mailing Address Details
Address
405 Gretna Blvd Ste 112
City
Gretna
State
Louisiana
Zip
70053-4945
Phone Number
504-368-5905
Fax Number
504-368-5906
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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