Organization
HAIK & TERRELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER LEE TERRELL III M.D. (OWNER)
(504) 833-2532
Entity
Organization
Contact information
Practice address
1046 PAUL MAILLARD RD, LULING, LA 70070
(985) 785-8444
(985) 785-8468
Mailing address
2800 VETERANS BLVD, SUITE 209, METAIRIE, LA 70002-6176
(504) 833-2532
(504) 833-9232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18190-845
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448010
—
LA
01
—
DE4771
RAILROAD MEDICARE
LA
Enumeration date
02/26/2007
Last updated
04/20/2008
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