Organization
CARDIOTHORACIC SURGEONS OF THE SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XAVIER RENE MOUSSET MD (OWNER)
(337) 439-5800
Entity
Organization
Contact information
Practice address
1605 FOSTER ST, LAKE CHARLES, LA 70601-5815
(337) 439-5800
(337) 439-0003
Mailing address
PO BOX 3084, LAKE CHARLES, LA 70602-3084
(337) 436-7560
(337) 433-9861
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
15365R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175609
—
LA
Enumeration date
02/15/2007
Last updated
05/27/2008
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