# VEIN CENTER OF THE SOUTH

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

## Provider details

- **NPI number:** 1841481660
- **Authorized official:** ROBERT E HANSEN MD (PRES)
- **Authorized official phone:** (985) 873-9585

## Contact information

- **Practice address:** 855 BELANGER ST, SUITE 100, HOUMA, LA 70360-4463
- **Practice address phone:** (985) 873-9585
- **Practice address fax:** (985) 873-1466
- **Mailing address:** 855 BELANGER ST, SUITE 100, HOUMA, LA 70360-4463
- **Mailing address phone:** (985) 873-9585
- **Mailing address fax:** (985) 873-1466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | MD09651R | LA | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 08/06/2007