# JOSE E MERCED MD LLC

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

## Provider details

- **NPI number:** 1780879015
- **Authorized official:** JOSE EDGARDO MERCED M.D. (PRESIDENT)
- **Authorized official phone:** (337) 769-3002

## Contact information

- **Practice address:** 433 LA NEUVILLE RD, YOUNGSVILLE, LA 70592-5212
- **Practice address phone:** (337) 769-3002
- **Practice address fax:** (337) 769-0309
- **Mailing address:** PO BOX 81023, LAFAYETTE, LA 70598-1023
- **Mailing address phone:** (337) 769-3002
- **Mailing address fax:** (337) 769-0309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 021815 | LA | Yes |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 06/26/2008