Healthcare Provider Details

I. General information

NPI: 1871476929
Provider Name (Legal Business Name): TSSC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 METAIRIE RD STE 101
METAIRIE LA
70005-3982
US

IV. Provider business mailing address

1615 METAIRIE RD STE 101
METAIRIE LA
70005-3982
US

V. Phone/Fax

Practice location:
  • Phone: 504-644-4226
  • Fax: 504-208-1135
Mailing address:
  • Phone: 504-644-4226
  • Fax: 504-208-1135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KEITH LEBLANC JR.
Title or Position: OWNER
Credential: MD
Phone: 504-644-4226