Provider Demographics
NPI:1871476929
Name:TSSC LLC
Entity type:Organization
Organization Name:TSSC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:504-644-4226
Mailing Address - Street 1:1615 METAIRIE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3982
Mailing Address - Country:US
Mailing Address - Phone:504-644-4226
Mailing Address - Fax:504-208-1135
Practice Address - Street 1:1615 METAIRIE RD STE 101
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3982
Practice Address - Country:US
Practice Address - Phone:504-644-4226
Practice Address - Fax:504-208-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty