Organization
CRESCENT CITY RESPIRATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WESLEY BRISON JR. (OWNER)
(504) 733-5109
Entity
Organization
Contact information
Practice address
1000 RIVERBEND DR, SUITE L, SAINT ROSE, LA 70087-3021
(504) 733-5109
(504) 733-5298
Mailing address
1000 RIVERBEND DR, SUITE L, SAINT ROSE, LA 70087-3021
(504) 733-5109
(504) 733-5298
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2677045001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431541
—
LA
Enumeration date
12/01/2006
Last updated
07/25/2007
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