# VERNON MHT LLC

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

## Provider details

- **NPI number:** 1265856033
- **Authorized official:** HANNA LUBBOS (OWNER)
- **Authorized official phone:** (337) 423-5020

## Contact information

- **Practice address:** 201 W ARKANSAS ST, LEESVILLE, LA 71446-4752
- **Practice address phone:** (855) 860-2109
- **Mailing address:** 1515 HERITAGE DR, SUITE 110, MCKINNEY, TX 75069-3256
- **Mailing address phone:** (855) 860-2109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 11793R | LA | Yes |

## Other

- **Enumeration date:** 02/13/2014
- **Last updated:** 08/27/2015