# CARDIOTHORACIC SURGEONS OF THE SOUTH, LLC

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

## Provider details

- **NPI number:** 1881737104
- **Authorized official:** DR. XAVIER RENE MOUSSET MD (OWNER)
- **Authorized official phone:** (337) 439-5800

## Contact information

- **Practice address:** 1605 FOSTER ST, LAKE CHARLES, LA 70601-5815
- **Practice address phone:** (337) 439-5800
- **Practice address fax:** (337) 439-0003
- **Mailing address:** PO BOX 3084, LAKE CHARLES, LA 70602-3084
- **Mailing address phone:** (337) 436-7560
- **Mailing address fax:** (337) 433-9861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 15365R | LA | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 05/27/2008