Organization
HEALTHSPERE MANAGEMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD DOMANGUE (MBR)
(985) 892-8934
Entity
Organization
Contact information
Practice address
4600 S CLAIBORNE AVE, NEW ORLEANS, LA 70125-5010
(512) 963-2492
Mailing address
PO BOX 1991, MANDEVILLE, LA 70470-1991
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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