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Organization
MEDICAL ASSOCIATION OF NORTHEAST LOUISIANA INC.
Active
Organization
MEDICAL ASSOCIATION OF NORTHEAST LOUISIANA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASSAD HUSEIN MOUHAFFEL M.D. (OWNER)
(318) 387-1946
Entity
Organization
Contact information
Practice address
102 THOMAS RD, SUITE 103, WEST MONROE, LA 71291-7365
(318) 387-1946
(318) 387-8781
Mailing address
102 THOMAS RD, SUITE 103, WEST MONROE, LA 71291-7366
(318) 387-1946
(318) 387-8781
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12175R
LA
Other
Enumeration date
11/30/2006
Last updated
01/09/2012
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