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Organization

VEIN CENTER OF THE SOUTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT E HANSEN MD (PRES)
(985) 873-9585
Entity
Organization

Contact information

Practice address
855 BELANGER ST, SUITE 100, HOUMA, LA 70360-4463
(985) 873-9585
(985) 873-1466
Mailing address
855 BELANGER ST, SUITE 100, HOUMA, LA 70360-4463
(985) 873-9585
(985) 873-1466

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD09651R
LA

Other

Enumeration date
08/06/2007
Last updated
08/06/2007
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