Organization
THAO MAI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAO MAI OD (OPTOMETRIST)
(504) 723-3546
Entity
Organization
Contact information
Practice address
4810 LAPALCO BLVD, MARRERO, LA 70072-4382
(504) 341-0818
Mailing address
20 NOTTOWAY DR, MARRERO, LA 70072-5077
(504) 723-3546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1530-567T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019453
—
LA
Enumeration date
09/16/2011
Last updated
09/16/2011
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