Cousins, Gwen Marie
Cousins, Gwen Marie is an individual health care provider with primary practice located at 1 Galleria Blvd Ste 900 , Metairie LA 70001-7528. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Cousins, Gwen Marie can be contacted via phone (504) 895-3961.Contact Information
Primary practice address
1 Galleria Blvd Ste 900
Metairie LA 70001-7528
Phone: (504) 895-3961
Fax: (504) 888-6045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 024983 | Louisiana |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 024983 | Louisiana |
Profile Details
| NPI number | 1336194828 |
|---|---|
| LBN Legal business name | Cousins, Gwen Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 8th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336194828 | NPPES |
| Louisiana | MEDICAID | 1421251 |
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