OrganizationActive
Sps Provider Network
NPI 1902752736 · Plastic Surgery Physician · New Orleans, LA
Provider details
- NPI number
- 1902752736
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angie Harden, Manager(504) 800-8058
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6028 Magazine St
New Orleans, LA 70118-5824
Phone: (504) 800-8058
Fax: (504) 387-6538
Approximate (ZIP-level) locationGet directions
Mailing address
6028 Magazine St
New Orleans, LA 70118-5824
Registry dates
- Enumerated
- 2026-03-05
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.