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Individual

DR. JESSE LEE HITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5137
Mailing address
318 WILDOAK DR, SHREVEPORT, LA 71106-8228
(318) 798-1722
(318) 797-2258

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
08645R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1919560
LA
Enumeration date
07/26/2006
Last updated
07/08/2007
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