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Organization
HEART LUNG AND VASCULAR CLINIC, LLC
Active
Organization
HEART LUNG AND VASCULAR CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAINE MCDERMOTT BORDERS (OWNER)
(318) 329-1900
Entity
Organization
Contact information
Practice address
161 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 329-1900
(318) 329-1901
Mailing address
244 SAINT ANDREWS RD, CALHOUN, LA 71225-7931
(318) 329-1900
(318) 329-1901
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
018916
LA
Other
Enumeration date
03/29/2011
Last updated
09/16/2026
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