Organization
BAYOU SURGICAL SPECIALISTS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE TARANTINO (PRACTICE ADMINISTRATOR)
(985) 868-2273
Entity
Organization
Contact information
Practice address
5619 HIGHWAY 311 STE A, HOUMA, LA 70360-5595
(985) 868-2273
(985) 851-4898
Mailing address
5619 HIGHWAY 311 STE A, HOUMA, LA 70360-5595
(985) 868-2273
(985) 851-4898
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941417
—
LA
Enumeration date
01/18/2007
Last updated
07/06/2011
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