Organization
HEART LUNG AND VASCULAR CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAINE BORDERS MD (MD/OWNER)
(318) 329-1900
Entity
Organization
Contact information
Practice address
415 HODGE WATSON RD, CALHOUN, LA 71225-9786
(318) 329-1900
Mailing address
415 HODGE WATSON RD, CALHOUN, LA 71225-9786
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
018916
LA
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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