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Organization

TCHEFUNCTE CARDIOVASCULAR ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GABRIEL LASALA M.D. (PRESIDENT)
(985) 871-8227
Entity
Organization

Contact information

Practice address
101 E FAIRWAY DR, SUITE 504, COVINGTON, LA 70433-7503
(985) 871-8227
(985) 871-6920
Mailing address
101 E FAIRWAY DR, SUITE 504, COVINGTON, LA 70433-7503
(985) 871-8227
(985) 871-6920

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1948543
LA
01
5C356
MEDICARE I.D NUMBER
LA
Enumeration date
11/09/2005
Last updated
04/03/2008
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