# PERFUSION VASCULAR HAMMOND LLC

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

## Provider details

- **NPI number:** 1699293357
- **Authorized official:** SHAUN R CARPENTER MD (CEO)
- **Authorized official phone:** (985) 892-7070

## Contact information

- **Practice address:** 16065 LAMONTE DR, HAMMOND, LA 70403-1405
- **Practice address phone:** (985) 892-7070
- **Practice address fax:** (985) 892-7017
- **Mailing address:** PO BOX 1089, HAMMOND, LA 70404-1089
- **Mailing address phone:** (985) 892-7070
- **Mailing address fax:** (985) 892-7017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2017
- **Last updated:** 06/25/2021