# HEALTHCARE INNOVATIONS OF METAIRIE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1679864466
- **Authorized official:** DR. CLAYTON MAZOUE M.D. (OWNER)
- **Authorized official phone:** (504) 598-5074

## Contact information

- **Practice address:** 3535 SEVERN AVE, STE 8, METAIRIE, LA 70002-3482
- **Practice address phone:** (504) 598-5074
- **Practice address fax:** (504) 598-5075
- **Mailing address:** 3535 SEVERN AVE, SUITE 8, METAIRIE, LA 70002-3482
- **Mailing address phone:** (504) 598-5074
- **Mailing address fax:** (504) 598-5075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200841 | LA | Yes |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 01/13/2012