Individual
JOSE EDGARDO MERCED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
433 LA NEUVILLE RD, YOUNGSVILLE, LA 70592-5212
(337) 769-3002
Mailing address
PO BOX 81023, LAFAYETTE, LA 70598-1023
(337) 769-3002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21815
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-02386
UNITED HEALTHCARE
LA
05
—
1982491
—
LA
01
—
21815
MEDICAL LICENSE
LA
Enumeration date
07/10/2006
Last updated
06/27/2008
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