Organization
HOMESTED MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX COLLADO (OWNER)
(504) 388-7586
Entity
Organization
Contact information
Practice address
2112 BELLE CHASSE HWY, SUITE 11-182, TERRYTOWN, LA 70056-7105
(504) 388-7586
Mailing address
2112 BELLE CHASSE HWY, SUITE 11-182, TERRYTOWN, LA 70056-7105
(504) 388-7586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
01/28/2009
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