Provider Demographics
NPI:1053642736
Name:CARDIOVASCULAR AND THORACIC SPECIALISTS LLC
Entity type:Organization
Organization Name:CARDIOVASCULAR AND THORACIC SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-769-4493
Mailing Address - Street 1:8595 PICARDY AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3675
Mailing Address - Country:US
Mailing Address - Phone:225-706-0085
Mailing Address - Fax:225-766-3144
Practice Address - Street 1:8595 PICARDY AVE STE 320
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3675
Practice Address - Country:US
Practice Address - Phone:225-706-0085
Practice Address - Fax:225-766-3144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty