Basic Information
| Provider Information | |||||||||
| NPI: | 1326048315 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARTECONA | ||||||||
| FirstName: | JOSE | ||||||||
| MiddleName: | FRANCISCO | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1440 CANAL ST | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885404 | ||||||||
| FaxNumber: | 5049884270 | ||||||||
| Practice Location | |||||||||
| Address1: | 1440 CANAL ST | ||||||||
| Address2: | TB-53, PSYCHIATRY DEPARTMENT | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049882201 | ||||||||
| FaxNumber: | 5049887457 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2005 | ||||||||
| LastUpdateDate: | 10/05/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 024719 | LA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 1579122 | 05 | LA | MEDICAID |