NPI: 1346725108 · GRETNA, LA 70053 · Pediatrics Physician · NPI assigned 09/27/2018
| Authorized Official | DIOUBATE, TAMARA (CEO) |
| NPI Enumeration Date | 09/27/2018 |
Other providers sharing the same authorized official: DIOUBATE, TAMARA
| Provider | City | State | Total Paid |
|---|---|---|---|
| PRIORITY HEALTH CARE | GRETNA | LA | $1.53M |
| PRIORITY HEALTH CARE | MARRERO | LA | $1.46M |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 21 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 21 | 13 | $2K |