Organization
PONTCHARTRAIN CANCER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NELSON OUBRE M.D. (PHYSICIAN/OWNER)
(985) 419-0025
Entity
Organization
Contact information
Practice address
15799 PROFESSIONAL PLZ, HAMMOND, LA 70403-1452
(985) 419-0025
(985) 419-0035
Mailing address
15799 PROFESSIONAL PLZ, HAMMOND, LA 70403-1452
(985) 419-5220
(985) 419-0035
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
022330
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883883
—
LA
Enumeration date
07/18/2006
Last updated
05/15/2019
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