1912634270 NPI number — ELISE DELAHOUSSAYE HOOD MD, DPT

Table of content: ELISE DELAHOUSSAYE HOOD MD, DPT (NPI 1912634270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912634270 NPI number — ELISE DELAHOUSSAYE HOOD MD, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOOD
Provider First Name:
ELISE
Provider Middle Name:
DELAHOUSSAYE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DELAHOUSSAYE
Provider Other First Name:
ELISE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD, DPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1912634270
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4532 W NAPOLEON AVE
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-302-9700
Provider Business Mailing Address Fax Number:
504-302-9800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4532 W NAPOLEON AVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-302-9700
Provider Business Practice Location Address Fax Number:
504-302-9800
Provider Enumeration Date:
08/05/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 11223 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3329964 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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