NPI 1104034248

Tara Mitchell, MD

Practitioner Pediatrics Physician Slidell, LA

Practice location

Address: 2370 Gause Boulevard, Slidell, LA 70464
Phone: (985) 639-3755
Mailing address: 1514 Jefferson Hwy, New Orleans, LA 70121

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD.202215 (LA)

Other Pediatrics providers in Louisiana →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 27112 (AL)

Registry record

NPI: 1104034248
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2007
Record last updated: 17 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.