Organization Name: | HOUMA SURGI-CENTER, INC & UROLOGY CLINIC |
NPI Number: | 1003895152 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT M ALEXANDER (PRESIDENT) |
Mailing Address: | 1020 School St Houma |
State: | LA US |
Postal Code: | 703604630 |
Phone Number: | 9858684320 |
Fax Number: | 9858683617 |
NPI Enumeration Date: | 01/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 6 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |