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Organization

THE FASCIA INSTITUTE AND TREATMENT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACQUES COURSEAULT MD (PHYSICIAN)
(504) 704-1254
Entity
Organization

Contact information

Practice address
2520 HARVARD AVE # 2B, METAIRIE, LA 70001-1172
(504) 704-1254
(866) 572-0930
Mailing address
2520 HARVARD AVE # 2B, METAIRIE, LA 70001-1172
(504) 704-1254
(866) 572-0930

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
04/19/2024
Last updated
04/06/2026
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