Organization
LOUISIANA CARDIOVASCULAR AND NEPHROLOGY CENTER OF EXCELLENCE, LLC
Active
Organization
LOUISIANA CARDIOVASCULAR AND NEPHROLOGY CENTER OF EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED LEGER (MANAGER)
(512) 220-3821
Entity
Organization
Contact information
Practice address
1418 HEATHER DR, OPELOUSAS, LA 70570-7716
(512) 220-3821
Mailing address
5300 BEE CAVES RD, BUILDING 3 - SUITE 100, WEST LAKE HILLS, TX 78746-5226
(512) 220-3821
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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