New Haven Mht LLC
NPI #1356767305 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1356767305
- Entity Type
- Organization
- Organization Name
- New Haven Mht LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 14, 2014
- Last Updated
- Jul 31, 2014
Practice Location
- Address
- 333 DOCTOR MICHAEL DEBAKEY DR
- Address 2
- SUITE 120
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-5887
- Phone
- (855) 860-2109
Authorized Official
- Name
- ANTHONY ADEOSUN, M.D.
- Title
- OWNER
- Phone
- (855) 860-2109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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