Healthcare Provider Details

I. General information

NPI: 1518111418
Provider Name (Legal Business Name): NEW HORIZON ONCOLOGY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

145 ROBERT E LEE BLVD
NEW ORLEANS LA
70124-2552
US

IV. Provider business mailing address

PO BOX 105603 #18760
ATLANTA GA
30348-5603
US

V. Phone/Fax

Practice location:
  • Phone: 504-333-9636
  • Fax: 504-910-9693
Mailing address:
  • Phone: 504-333-9636
  • Fax: 504-910-9693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: HENRY ADDISON
Title or Position: CEO
Credential:
Phone: 504-333-9636