Organization
ADVANCED NERVE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS GAUTREAUX (CEO)
(214) 295-6703
Entity
Organization
Contact information
Practice address
337 BROOKLYN AVE, JEFFERSON, LA 70121-2834
(214) 295-6703
Mailing address
337 BROOKLYN AVE, JEFFERSON, LA 70121-2834
(214) 295-6703
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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