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Organization

RAUL G. REYES MD AMC

Active
Other names
LaClinica
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAUL G. REYES M.D. (OWNER)
(504) 904-0961
Entity
Organization

Contact information

Practice address
361 W ESPLANADE AVE, KENNER, LA 70065-2541
(504) 904-0961
(504) 904-0962
Mailing address
PO BOX 15379, NEW ORLEANS, LA 70175-5379
(504) 904-0961
(504) 904-0962

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M.D.007810
LA
208D00000X
General Practice Physician
Primary
M.D.007810
LA

Other

Enumeration date
06/10/2010
Last updated
06/10/2010
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