Organization
EXCELTH, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON TREGRE (CFO)
(504) 524-1210
Entity
Organization
Contact information
Practice address
9900 LAKE FOREST BLVD, SUITE F, NEW ORLEANS, LA 70127-2609
(504) 524-1210
(504) 524-1491
Mailing address
1515 POYDRAS ST, SUITE 1010, NEW ORLEANS, LA 70112-3723
(504) 524-1210
(504) 524-1491
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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