Provider Demographics
NPI:1083290886
Name:MEDICAL PLAZA HEARING, L.L.C.
Entity Type:Organization
Organization Name:MEDICAL PLAZA HEARING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:BROUSSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-455-3434
Mailing Address - Street 1:4228 HOUMA BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-3001
Mailing Address - Country:US
Mailing Address - Phone:504-455-3434
Mailing Address - Fax:504-455-5477
Practice Address - Street 1:4228 HOUMA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-3001
Practice Address - Country:US
Practice Address - Phone:504-455-3434
Practice Address - Fax:504-455-5477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty