# CARDIO-THORACIC SURGERY PA A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1437263472
- **Authorized official:** MRS. BETINA M BREAUX MT BB (OFFICE MANAGER)
- **Authorized official phone:** (985) 882-6221

## Contact information

- **Practice address:** 64040 HWY 434, SUITE 100, LACOMBE, LA 70445
- **Practice address phone:** (985) 882-6221
- **Practice address fax:** (985) 882-7935
- **Mailing address:** 64040 HWY 434, SUITE 100, LACOMBE, LA 70445
- **Mailing address phone:** (985) 882-6221
- **Mailing address fax:** (985) 882-7935

## 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:** 08/18/2006
- **Last updated:** 09/04/2013