| Excelth, Incorporated | |
|
9900 Lake Forest Blvd Suite F New Orleans LA 70127-2609 | |
| (504) 524-1210 | |
| (504) 524-1491 |
| Full Name | Excelth, Incorporated |
|---|---|
| Speciality | General Practice |
| Location | 9900 Lake Forest Blvd, New Orleans, Louisiana |
| Authorized Official Name and Position | Byron Tregre (CFO) |
| Authorized Official Contact | 5045241210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelth, Incorporated 1515 Poydras St Suite 1010 New Orleans LA 70112-3723 Ph: (504) 524-1210 | Excelth, Incorporated 9900 Lake Forest Blvd Suite F New Orleans LA 70127-2609 Ph: (504) 524-1210 |
| NPI Number | 1205275492 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 06/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205275492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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