Organization
FADI ABOU-ISSA, MD A MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI ABOU-ISSA MD (OWNER)
(985) 851-6653
Entity
Organization
Contact information
Practice address
8120 MAIN ST, SUITE 301, HOUMA, LA 70360-3403
(985) 851-6653
Mailing address
8120 MAIN ST, SUITE 301, HOUMA, LA 70360-3403
(985) 851-6653
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11737R
LA
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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