# CARDIOVASCULAR AND THORACIC SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1639328131
- **Authorized official:** DR. V. ANTOINE KELLER M.D. (MEMBER)
- **Authorized official phone:** (225) 752-0915

## Contact information

- **Practice address:** 413 HIGHLAND CROSSING ST, BATON ROUGE, LA 70810-5816
- **Practice address phone:** (225) 752-0915
- **Practice address fax:** (225) 752-5884
- **Mailing address:** PO BOX 84859, BATON ROUGE, LA 70884-4859
- **Mailing address phone:** (225) 752-0915
- **Mailing address fax:** (225) 752-5884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 021788 | LA | Yes |

## Other

- **Enumeration date:** 09/09/2008
- **Last updated:** 09/09/2008