Organization
ONCOLOGY/HEMATOLOGY CENTER OF THE SOUTH
Active
Other names
Cancer Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R NOWACKI CPA (CFO)
(225) 215-1223
Entity
Organization
Contact information
Practice address
8166 MAIN ST, STE 201, HOUMA, LA 70360-3404
(985) 857-8093
(985) 857-8902
Mailing address
8166 MAIN ST, STE 201, HOUMA, LA 70360-3404
(985) 857-8093
(985) 857-8902
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947466
—
LA
Enumeration date
10/10/2006
Last updated
11/26/2014
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