# VASCULAR SPECIALTY CENTER LLC

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

## Provider details

- **NPI number:** 1730410408
- **Authorized official:** MRS. NAOMI D NELSON MHA (COO)
- **Authorized official phone:** (225) 769-4493

## Contact information

- **Practice address:** 8888 SUMMA AVE FL 3, BATON ROUGE, LA 70809-3720
- **Practice address phone:** (225) 769-4493
- **Practice address fax:** (225) 766-3144
- **Mailing address:** 8888 SUMMA AVE FL 3, BATON ROUGE, LA 70809-3720
- **Mailing address phone:** (225) 769-4493
- **Mailing address fax:** (225) 766-3144

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2010
- **Last updated:** 11/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1795445 | — | LA |
| 01 | — | DR2923 | RAILROAD MEDICARE | LA |