Organization
VERNON MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNA LUBBOS (OWNER)
(337) 423-5020
Entity
Organization
Contact information
Practice address
201 W ARKANSAS ST, LEESVILLE, LA 71446-4752
(855) 860-2109
Mailing address
1515 HERITAGE DR, SUITE 110, MCKINNEY, TX 75069-3256
(855) 860-2109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11793R
LA
Other
Enumeration date
02/13/2014
Last updated
08/27/2015
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