# EVANGELINE MHT LLC

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

## Provider details

- **NPI number:** 1295146322
- **Authorized official:** CHARLES J ASWELL III (OWNER)
- **Authorized official phone:** (337) 363-7474

## Contact information

- **Practice address:** 503 JACK MILLER RD, SUITE A, VILLE PLATTE, LA 70586-5607
- **Practice address phone:** (855) 860-2109
- **Mailing address:** 1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
- **Mailing address phone:** (972) 616-4702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD.013360 | LA | Yes |

## Other

- **Enumeration date:** 05/12/2014
- **Last updated:** 05/12/2014