Southwest Medical Center Surgical Group, LLC

NPI #1689819898 in Lafayette, Louisiana

Provider Information

NPI Number
1689819898
Entity Type
Organization
Organization Name
Southwest Medical Center Surgical Group, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
HTI HOSPITAL HOLDINGS INC
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Dec 3, 2008
Last Updated
Aug 1, 2011

Practice Location

Address
4212 W CONGRESS ST
Address 2
SUITE 3200
ZIP Code
70506-6765
Phone
(337) 981-1695

Authorized Official

Name
MR. MATTHEW SHANE OLIVIER
Title
AUTHORIZED OFFICAL
Phone
(615) 373-7600

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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