Organization
CARDIAC AND THORACIC SURGERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WILIIAM MOCK SR. CPA (MANAGER)
(225) 963-0567
Entity
Organization
Contact information
Practice address
2223 QUAIL RUN STE E, BATON ROUGE, LA 70808-9063
(225) 877-2872
(225) 659-8031
Mailing address
2223 QUAIL RUN STE E, BATON ROUGE, LA 70808-9063
(225) 877-2872
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
11/16/2021
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