Organization
CHOCA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR PUMAROL -CASTILLO MD (SOLE MEMBER/OWNER)
(337) 534-9286
Entity
Organization
Contact information
Practice address
418 ALBERTSON PKWY, BROUSSARD, LA 70518-4971
(337) 237-6444
Mailing address
PO BOX 82281, LAFAYETTE, LA 70598-2281
(337) 534-9286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208224
LA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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