Organization
JOSE E MERCED MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE EDGARDO MERCED M.D. (PRESIDENT)
(337) 769-3002
Entity
Organization
Contact information
Practice address
433 LA NEUVILLE RD, YOUNGSVILLE, LA 70592-5212
(337) 769-3002
(337) 769-0309
Mailing address
PO BOX 81023, LAFAYETTE, LA 70598-1023
(337) 769-3002
(337) 769-0309
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
021815
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982491
—
LA
Enumeration date
09/10/2007
Last updated
06/26/2008
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