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Organization
SOUTHWEST MEDICAL CENTER SURGICAL GROUP, LLC
Active
Organization
SOUTHWEST MEDICAL CENTER SURGICAL GROUP, LLC
Active
Parent organization
HTI HOSPITAL HOLDINGS INC
Other names
Louisiana Heart, Lung & Vascular Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HTI HOSPITAL HOLDINGS INC
Authorized official
MR. MATTHEW SHANE OLIVIER (AUTHORIZED OFFICAL)
(615) 373-7600
Entity
Organization
Contact information
Practice address
4212 W CONGRESS ST, SUITE 3200, LAFAYETTE, LA 70506-6765
(337) 981-1695
Mailing address
4212 W CONGRESS ST, SUITE 2300A, LAFAYETTE, LA 70506-6765
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
LA
Other
Enumeration date
12/03/2008
Last updated
08/01/2011
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