Provider Demographics
NPI:1063202992
Name:MULTISURANCE
Entity type:Organization
Organization Name:MULTISURANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:504-203-6283
Mailing Address - Street 1:6305 ELYSIAN FIELDS AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-4284
Mailing Address - Country:US
Mailing Address - Phone:877-467-8310
Mailing Address - Fax:504-322-4806
Practice Address - Street 1:6305 ELYSIAN FIELDS AVE STE 405
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-4284
Practice Address - Country:US
Practice Address - Phone:877-467-8310
Practice Address - Fax:504-322-4806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
No251X00000XAgenciesSupports Brokerage
No305S00000XManaged Care OrganizationsPoint of Service