# CHOCA MD LLC

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

## Provider details

- **NPI number:** 1235670993
- **Authorized official:** DR. EDGAR PUMAROL -CASTILLO MD (SOLE MEMBER/OWNER)
- **Authorized official phone:** (337) 534-9286

## Contact information

- **Practice address:** 418 ALBERTSON PKWY, BROUSSARD, LA 70518-4971
- **Practice address phone:** (337) 237-6444
- **Mailing address:** PO BOX 82281, LAFAYETTE, LA 70598-2281
- **Mailing address phone:** (337) 534-9286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 208224 | LA | Yes |

## Other

- **Enumeration date:** 03/14/2017
- **Last updated:** 03/14/2017