Organization
ST TAMMANY ANESTHESIA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERMIT L ROUX MD (HEAD ANESTHESIALOGIST)
(504) 309-4211
Entity
Organization
Contact information
Practice address
4324 VETERANS BLVD, EYECARE ASSOCIATES, METAIRIE, LA 70006
(504) 455-4046
(504) 455-9890
Mailing address
PO BOX 113327, METAIRIE, LA 70011
(504) 309-4211
(504) 309-4214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445363
—
LA
Enumeration date
12/27/2006
Last updated
08/22/2020
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