Provider Demographics
NPI:1669653887
Name:HEMATOLOGY & ONCOLOGY SPECIALISTS LLC
Entity Type:Organization
Organization Name:HEMATOLOGY & ONCOLOGY SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAUX
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:504-679-9901
Mailing Address - Street 1:PO BOX 54932
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70154
Mailing Address - Country:US
Mailing Address - Phone:504-679-9901
Mailing Address - Fax:504-679-9928
Practice Address - Street 1:39 STARBRUSH CIR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7209
Practice Address - Country:US
Practice Address - Phone:985-892-9090
Practice Address - Fax:985-892-9957
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEMATOLOGY & ONCOLOGY SPECIALISTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-15
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========AOtherBCBS PROVIDER NUMBER
LA=========AOtherBCBS PROVIDER NUMBER