# CARDIAC AND THORACIC SURGERY ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1932783149
- **Authorized official:** CHARLES WILIIAM MOCK SR. CPA (MANAGER)
- **Authorized official phone:** (225) 963-0567

## Contact information

- **Practice address:** 2223 QUAIL RUN STE E, BATON ROUGE, LA 70808-9063
- **Practice address phone:** (225) 877-2872
- **Practice address fax:** (225) 659-8031
- **Mailing address:** 2223 QUAIL RUN STE E, BATON ROUGE, LA 70808-9063
- **Mailing address phone:** (225) 877-2872

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2021
- **Last updated:** 11/16/2021