Provider Demographics
NPI:1700190675
Name:PALMS SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:PALMS SURGERY CENTER, LLC
Other - Org Name:PALMS CRNA SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:MR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:337-893-4531
Mailing Address - Street 1:204 N MAGDALEN SQ
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-4645
Mailing Address - Country:US
Mailing Address - Phone:337-893-4531
Mailing Address - Fax:337-893-0825
Practice Address - Street 1:204 N MAGDALEN SQ
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4645
Practice Address - Country:US
Practice Address - Phone:337-893-4531
Practice Address - Fax:337-893-0825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty