# DYESS MEDICAL CENTER INCORPORATED

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

## Provider details

- **NPI number:** 1508963968
- **Authorized official:** DR. JAMES MALCOLM DYESS M.D. (PHYSICIAN)
- **Authorized official phone:** (504) 368-3100

## Contact information

- **Practice address:** \# 12 WESTSIDE EXPRESSWAY, GRETNA, LA 70053
- **Practice address phone:** (504) 368-3100
- **Practice address fax:** (504) 368-0555
- **Mailing address:** 100 MERGANSER DR, MANDEVILLE, LA 70448-6607
- **Mailing address phone:** (985) 951-8941
- **Mailing address fax:** (985) 951-8943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 023074 | LA | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/16/2009