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Organization

LEESVILLE HEART CENTER PMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REYMOND MEADAA M.D. (PRESIDENT)
(337) 392-1871
Entity
Organization

Contact information

Practice address
1106A PORT ARTHUR TER, LEESVILLE, LA 71446-4636
(337) 392-1871
(337) 392-1804
Mailing address
1106A PORT ARTHUR TER, LEESVILLE, LA 71446-4636
(337) 392-1871
(337) 392-1804

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11635R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1684937
LA
Enumeration date
10/23/2007
Last updated
10/24/2007
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