Individual
JOSE MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15813 PAUL VEGA MD DR STE 403, HAMMOND, LA 70403-1426
(985) 230-7350
(985) 230-7351
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-3668
(985) 370-7409
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD.12638R
LA
Other
Enumeration date
03/31/2006
Last updated
12/29/2022
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