# HEINEN MEDICAL VP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043721624
- **Authorized official:** JADE N HEINEN MD (MEDICAL DOCTOR)
- **Authorized official phone:** (337) 363-5521

## Contact information

- **Practice address:** 1535 W MAIN ST STE 6, VILLE PLATTE, LA 70586-2868
- **Practice address phone:** (337) 363-5521
- **Practice address fax:** (337) 363-9134
- **Mailing address:** 151 LEON AVE, EUNICE, LA 70535-3937
- **Mailing address phone:** (337) 457-8166
- **Mailing address fax:** (888) 371-3069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 201684 | LA | Yes |

## Other

- **Enumeration date:** 10/23/2017
- **Last updated:** 10/23/2017