Organization
CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIO FRAGOUSO (CFO)
(504) 896-9461
Entity
Organization
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 899-9511
(504) 896-4225
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 899-9511
(504) 896-4225
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
10/20/2021
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