Organization
ENDOVASCULAR TECHNOLOGIES, LLC
Active
Organization
ENDOVASCULAR TECHNOLOGIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRITTON EAVES II M.D. (OWNER)
(318) 752-2328
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR, SUITE 450, BOSSIER CITY, LA 71111-2394
(318) 752-2328
(318) 746-0160
Mailing address
PO BOX 1760, SHREVEPORT, LA 71166-1760
(318) 752-2328
(318) 746-0160
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
021588
LA
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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