# HARVEY MEDCARE LLC

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

## Provider details

- **NPI number:** 1154464451
- **Authorized official:** MRS. TRAM VU JACOBS (ASSISTANT)
- **Authorized official phone:** (504) 348-2310

## Contact information

- **Practice address:** 3709 WESTBANK EXPY, SUITE 1B, HARVEY, LA 70058-2600
- **Practice address phone:** (504) 348-2310
- **Practice address fax:** (504) 348-1942
- **Mailing address:** 3709 WESTBANK EXPY, SUITE 1B, HARVEY, LA 70058-2600
- **Mailing address phone:** (504) 348-2310
- **Mailing address fax:** (504) 348-1942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 12/14/2016