Provider Demographics
NPI:1710430749
Name:CYPRESS POINTE PHYSICIANS NETWORK, LLC
Entity Type:Organization
Organization Name:CYPRESS POINTE PHYSICIANS NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:
Authorized Official - Last Name:TREITLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-510-6199
Mailing Address - Street 1:PO BOX 1505
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70470-1505
Mailing Address - Country:US
Mailing Address - Phone:985-801-0575
Mailing Address - Fax:
Practice Address - Street 1:70325 HIGHWAY 1077
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7836
Practice Address - Country:US
Practice Address - Phone:985-510-6199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMMOND SURGICAL HOSPITAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty