Organization
T L HAUTH A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A HAUTH MD (OWNER)
(985) 781-0548
Entity
Organization
Contact information
Practice address
1525 RIVER OAKS RD W, HARAHAN, LA 70123-2162
(504) 734-1740
(504) 733-7020
Mailing address
959 TOPAZ ST, NEW ORLEANS, LA 70124-3627
(985) 781-0548
(985) 781-4319
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10019R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5E401
MEDICARE
LA
Enumeration date
08/07/2008
Last updated
08/07/2008
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