| Rolston Cardiovascular Associates, Llc | |
|
4224 Houma Blvd Suite 450a Metairie LA 70006-2933 | |
| (504) 454-9006 | |
| (504) 454-5080 |
| Full Name | Rolston Cardiovascular Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4224 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | William A Rolston (OWNER / OPERATOR) |
| Authorized Official Contact | 5044549006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolston Cardiovascular Associates, Llc 4224 Houma Blvd Suite 450a Metairie LA 70006-2933 Ph: (504) 454-9006 | Rolston Cardiovascular Associates, Llc 4224 Houma Blvd Suite 450a Metairie LA 70006-2933 Ph: (504) 454-9006 |
| NPI Number | 1811291859 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 01/05/2011 |
| Medicare PECOS PAC ID | 1052593274 |
|---|---|
| Medicare Enrollment ID | O20110309000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811291859 | NPI | - | NPPES |
| 1191205 | Medicaid | LA | |
| 1619952017 | Other | LA | DR'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 011699 (Louisiana) | Primary |
| Provider Name | William A Rolston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619952017 PECOS PAC ID: 1850450057 Enrollment ID: I20101108001324 |
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