Organization
CARDIOVASCULAR AND THORACIC SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. V. ANTOINE KELLER M.D. (MEMBER)
(225) 752-0915
Entity
Organization
Contact information
Practice address
413 HIGHLAND CROSSING ST, BATON ROUGE, LA 70810-5816
(225) 752-0915
(225) 752-5884
Mailing address
PO BOX 84859, BATON ROUGE, LA 70884-4859
(225) 752-0915
(225) 752-5884
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
021788
LA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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