Organization
CENLA HEART SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY R HAWTHORNE M.D. (MANAGING PARTNER)
(318) 448-1041
Entity
Organization
Contact information
Practice address
2108 TEXAS AVE, SUITE 2061, ALEXANDRIA, LA 71301-3944
(318) 448-1041
(318) 448-0865
Mailing address
2108 TEXAS AVE, SUITE 2061, ALEXANDRIA, LA 71301-3944
(318) 448-1041
(318) 448-0865
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443336
—
LA
01
—
CJ8426
RAILROAD MEDICARE
LA
Enumeration date
01/03/2007
Last updated
10/19/2021
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