Healthcare Provider Details

I. General information

NPI: 1821158569
Provider Name (Legal Business Name): HAND SURGICAL ASSOCIATES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4228 HOUMA BLVD SUITE 600B
METAIRIE LA
70006
US

IV. Provider business mailing address

4228 HOUMA BLVD SUITE 600B
METAIRIE LA
70006
US

V. Phone/Fax

Practice location:
  • Phone: 504-454-2191
  • Fax: 504-454-3106
Mailing address:
  • Phone: 504-454-2191
  • Fax: 504-454-3106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: CRAIG C. HENRY
Title or Position: ADMINISTRATOR
Credential:
Phone: 504-454-2191