Organization
ALLIANCE SURGERY CENTER LLC
Active
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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