Healthcare Provider Details
I. General information
NPI: 1659530947
Provider Name (Legal Business Name): HAND SURGICAL ASSOCIATES LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2008
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4228 HOUMA BLVD SUITE 600B
METAIRIE LA
70006-3000
US
IV. Provider business mailing address
4228 HOUMA BLVD SUITE 600B
METAIRIE LA
70006-3000
US
V. Phone/Fax
- Phone: 504-454-2191
- Fax: 504-454-3106
- Phone: 504-454-2191
- Fax: 504-454-3106
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CRAIG
C
HENRY
Title or Position: ADMINISTRATOR
Credential:
Phone: 504-454-2191