Organization
ALLIANCE SURGERY CENTER LLC
Active
Other names
Alliance Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY VIDRINE FONTENOT RN (ADMINISTRATOR)
(504) 885-7676
Entity
Organization
Contact information
Practice address
3717 HOUMA BLVD, STE 200, METAIRIE, LA 70006-4115
(504) 885-7676
(504) 885-7659
Mailing address
3717 HOUMA BLVD STE 200, METAIRIE, LA 70006-4101
(504) 885-7676
(504) 885-7659
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
461683
LA
Other
Enumeration date
06/23/2005
Last updated
01/13/2025
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