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Organization
KIDNEY & HYPERTENSION CENTER, A PROFESSIONAL CORPORATION
Active
Organization
KIDNEY & HYPERTENSION CENTER, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMINIO SUAZO-VASQUEZ (PHYSICIAN)
(985) 868-7454
Entity
Organization
Contact information
Practice address
906 BELANGER ST, HOUMA, LA 70360-4410
(985) 868-7454
Mailing address
906 BELANGER ST, HOUMA, LA 70360-4410
(985) 868-7454
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
07070R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0426235300
BLUE CROSS PROVIDER
LA
05
—
1362557
—
LA
01
—
3100041
UNITED HEALTHCARE OF LA
LA
01
—
5525574
AETNA
LA
Enumeration date
10/05/2006
Last updated
09/22/2008
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