# SOUTHWEST MEDICAL CENTER SURGICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HTI HOSPITAL HOLDINGS INC
- **Other names:** Louisiana Heart, Lung & Vascular Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689819898
- **Legal business name:** HTI HOSPITAL HOLDINGS INC
- **Authorized official:** MR. MATTHEW SHANE OLIVIER (AUTHORIZED OFFICAL)
- **Authorized official phone:** (615) 373-7600

## Contact information

- **Practice address:** 4212 W CONGRESS ST, SUITE 3200, LAFAYETTE, LA 70506-6765
- **Practice address phone:** (337) 981-1695
- **Mailing address:** 4212 W CONGRESS ST, SUITE 2300A, LAFAYETTE, LA 70506-6765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | LA | Yes |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 08/01/2011