Southern Surgical Services, L.L.C.
Point of Service in Houma, LA. Organization (NPI-2).
NPI number1265811087
StatusActive
Last updated in NPPESOct 6, 2015
Details
- NPI
- 1265811087
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Surgical Services, L.L.C.
- Organization subpart
- No
- Enumeration date
- May 26, 2015
- Last updated
- Oct 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | 140601 | LA | Yes |
Practice location
203 Pendleton DrHouma, LA 70360-3929
Phone 985-805-0921
Mailing address
203 Pendleton DrHouma, LA 70360-3929
Authorized official
Kelsey Eschette
Certified Surgical First Assistant
9858050921
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