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Organization

ELIAS RAYMOND MOUNAYAR MD LLC

Active
Parent organization
ELIAS RAYMOND MOUNAYAR MD LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELIAS RAYMOND MOUNAYAR MD LLC
Authorized official
DR. ELIAS RAYMOND MOUNAYAR MD (SOLE MBR/OWNER)
(318) 253-5600
Entity
Organization

Contact information

Practice address
338 MOREAU ST, SUITE D, MARKSVILLE, LA 71351-2956
(318) 253-5600
(318) 253-5602
Mailing address
158 KING ARTHUR DR, MANSURA, LA 71350-4484
(318) 253-4814

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1471771
LA
Enumeration date
04/25/2011
Last updated
04/25/2011
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