# TERRE HAUTE HEART LUNG VASCULAR ASSO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083657837
- **Authorized official:** LOUIS JOSEPH (VP)
- **Authorized official phone:** (812) 232-2708

## Contact information

- **Practice address:** 3903 S 7TH ST, SUITE 2B, TERRE HAUTE, IN 47802-5710
- **Practice address phone:** (812) 232-2708
- **Mailing address:** 3903 S 7TH ST, SUITE 2B, TERRE HAUTE, IN 47802-5710
- **Mailing address phone:** (812) 232-2708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 11/20/2007
