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Organization
GULF COAST SURGICAL CONSULTANTS LLC
Active
Organization
GULF COAST SURGICAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LIGHTELL SA-C (CEO)
(214) 227-2457
Entity
Organization
Contact information
Practice address
1196 SPRINGWATER DR, MANDEVILLE, LA 70471-7434
(214) 227-2457
(214) 764-0880
Mailing address
1196 SPRINGWATER DR, MANDEVILLE, LA 70471-7434
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
15-493
LA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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