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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