Organization Name: | SURGICAL WEIGHT MANAGEMENT ASSOCIATES, LLC |
NPI Number: | 1962536193 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC H RAU (MEDICAL DOCTOR) |
Mailing Address: | 5619 Highway 311 Suite B Houma |
State: | LA US |
Postal Code: | 703605595 |
Phone Number: | 9858682206 |
Fax Number: | 9858682232 |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 02/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OC16113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |