Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 012660 | LA |
N | 111NI0900X | Internist | 012660 | LA |
Y | 207RI0200X | Infectious Disease | 012660 | LA |
NPI | 1003856477 |
---|---|
Provider Name | Mary L Eschete |
First Address | Houma, LA 70363-7055 |
Second Address | Houma, LA 70363-7055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 04/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110067706 | RAILROAD MEDICARE (01) | LA |
1193631 | (05) | LA |
B60859 | (02) | LA |