Healthcare Provider Details

I. General information

NPI: 1144277591
Provider Name (Legal Business Name): FRANK P SAVOY JR CANCER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 POINCIANA AVE
MAMOU LA
70554-2201
US

IV. Provider business mailing address

803 POINCIANA AVE
MAMOU LA
70554-2201
US

V. Phone/Fax

Practice location:
  • Phone: 337-468-3099
  • Fax: 337-468-3083
Mailing address:
  • Phone: 337-468-3099
  • Fax: 337-468-3083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number StateLA

VIII. Authorized Official

Name: SAM ZAUNBRECHER
Title or Position: ASSISTANT MANAGER RADIATION THERAP
Credential: RTT
Phone: 337-468-3099