Organization
UROLOGY HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA BLANCHARD M.D. (OFFICE MANAGER)
(985) 876-2323
Entity
Organization
Contact information
Practice address
1281 W TUNNEL BLVD, HOUMA, LA 70360-2794
(985) 876-2323
Mailing address
1281 W TUNNEL BLVD, HOUMA, LA 70360-2794
(985) 876-2323
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04680R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443379
—
LA
Enumeration date
07/15/2006
Last updated
04/29/2011
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