Organization
HEINEN MEDICAL VP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE N HEINEN MD (MEDICAL DOCTOR)
(337) 363-5521
Entity
Organization
Contact information
Practice address
1535 W MAIN ST STE 6, VILLE PLATTE, LA 70586-2868
(337) 363-5521
(337) 363-9134
Mailing address
151 LEON AVE, EUNICE, LA 70535-3937
(337) 457-8166
(888) 371-3069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201684
LA
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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