Organization
JESUS L. CHUA MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS LAO CHUA MD (PRESIDENT)
(337) 828-4037
Entity
Organization
Contact information
Practice address
602 HAIFLEIGH ST, FRANKLIN, LA 70538-3731
(337) 828-4037
(337) 828-7740
Mailing address
602 HAIFLEIGH ST, FRANKLIN, LA 70538-3731
(337) 828-4037
(337) 828-7740
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
09772R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1969036
—
LA
Enumeration date
04/20/2010
Last updated
04/20/2010
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