Organization
EVANGELINE MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J ASWELL III (OWNER)
(337) 363-7474
Entity
Organization
Contact information
Practice address
503 JACK MILLER RD, SUITE A, VILLE PLATTE, LA 70586-5607
(855) 860-2109
Mailing address
1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
(972) 616-4702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.013360
LA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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