Healthcare Provider Details

I. General information

NPI: 1669653887
Provider Name (Legal Business Name): HEMATOLOGY & ONCOLOGY SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 STARBRUSH CIR
COVINGTON LA
70433-7209
US

IV. Provider business mailing address

PO BOX 54932
NEW ORLEANS LA
70154
US

V. Phone/Fax

Practice location:
  • Phone: 985-892-9090
  • Fax: 985-892-9957
Mailing address:
  • Phone: 504-679-9901
  • Fax: 504-679-9928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JACK E SAUX III
Title or Position: PRESIDENT
Credential: MD
Phone: 504-679-9901