Organization
PONTCHARTRAIN CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NELSON OUBRE M.D., (M.D.,/ OWNER)
(985) 419-0025
Entity
Organization
Contact information
Practice address
120 LAKEVIEW CIR, COVINGTON, LA 70433-7512
(985) 875-1202
(985) 875-1205
Mailing address
15752 MEDICAL ARTS PLAZA, SUITE 101, HAMMOND, LA 70403-1446
(985) 419-0025
(985) 875-0035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
203749
LA
174400000X
Specialist
Primary
22330
LA
174400000X
Specialist
RN083847-AP04197
LA
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478377
—
LA
05
—
1665878
—
LA
05
—
1883883
—
LA
Enumeration date
03/16/2011
Last updated
01/05/2026
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