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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