Cardiovascular Institute Of The South, LLC
Internal Medicine, Cardiovascular Disease in Houma, LA. Organization (NPI-2).
NPI number1982689113
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1982689113
- Entity type
- Organization (NPI-2)
- Legal business name
- Cardiovascular Institute Of The South, LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2005
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | |
| 363AS0400X | Physician Assistant, Surgical | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
225 Dunn StHouma, LA 70360-4413
Phone 985-876-0300 · Fax 985-872-0317
Mailing address
Po Box 4176Houma, LA 70361-4176
Phone 985-876-0300 · Fax 985-872-0317
Authorized official
Nickolas C Zaunbrecher
Chief Financial Officer
3372914834
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