Organization
HARVEY MEDCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRAM VU JACOBS (ASSISTANT)
(504) 348-2310
Entity
Organization
Contact information
Practice address
3709 WESTBANK EXPY, SUITE 1B, HARVEY, LA 70058-2600
(504) 348-2310
(504) 348-1942
Mailing address
3709 WESTBANK EXPY, SUITE 1B, HARVEY, LA 70058-2600
(504) 348-2310
(504) 348-1942
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1422321
—
LA
Enumeration date
02/15/2007
Last updated
12/14/2016
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