Organization
VINCENT INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD ALLEN VINCENT M.D. (OWNER)
(337) 783-4043
Entity
Organization
Contact information
Practice address
136 TOWER RD, CROWLEY, LA 70526-2211
(337) 783-4043
(337) 783-4053
Mailing address
PO BOX 871, CROWLEY, LA 70527-0871
(337) 783-4043
(337) 783-4053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
026400
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057967
—
LA
Enumeration date
05/19/2006
Last updated
05/17/2010
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