# GULF COAST SURGICAL CONSULTANTS LLC

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

## Provider details

- **NPI number:** 1821460973
- **Authorized official:** STEPHEN LIGHTELL SA-C (CEO)
- **Authorized official phone:** (214) 227-2457

## Contact information

- **Practice address:** 1196 SPRINGWATER DR, MANDEVILLE, LA 70471-7434
- **Practice address phone:** (214) 227-2457
- **Practice address fax:** (214) 764-0880
- **Mailing address:** 1196 SPRINGWATER DR, MANDEVILLE, LA 70471-7434
- **Mailing address fax:** (214) 764-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 15-493 | LA | Yes |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 10/28/2015