# SOUTH LOUISIANA ENT, FACIAL PLASTIC & HAIR RESTORATION, APMC

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

## Provider details

- **NPI number:** 1831402924
- **Authorized official:** JASON M GUILLOT MD (OWNER)
- **Authorized official phone:** (985) 327-5905

## Contact information

- **Practice address:** 1420 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3104
- **Practice address phone:** (985) 327-5905
- **Practice address fax:** (985) 200-0840
- **Mailing address:** 1420 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3104
- **Mailing address phone:** (985) 327-5905
- **Mailing address fax:** (985) 200-0840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | 203549 | LA | — |
| 207YS0123X | Facial Plastic Surgery Physician | 203549 | LA | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 203549 | LA | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 203549 | LA | — |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 10/10/2025