Organization
CARDIOVASCULAR INSTITUTE OF THE SOUTH ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C KONUR (CHIEF EXECUTIVE OFFICER)
(985) 876-0300
Entity
Organization
Contact information
Practice address
191 INNOVATION COURT, GRAY, LA 70359
(985) 876-0300
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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