# HEALTHSPERE MANAGEMENT GROUP, LLC

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

## Provider details

- **NPI number:** 1316399512
- **Authorized official:** DR. CHAD DOMANGUE (MBR)
- **Authorized official phone:** (985) 892-8934

## Contact information

- **Practice address:** 4600 S CLAIBORNE AVE, NEW ORLEANS, LA 70125-5010
- **Practice address phone:** (512) 963-2492
- **Mailing address:** PO BOX 1991, MANDEVILLE, LA 70470-1991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2016
- **Last updated:** 07/12/2016