Leesville Heart Center Pmc

NPI #1407045792 in Leesville, Louisiana

Provider Information

NPI Number: 1407045792
Entity Type: Organization
Organization Name: Leesville Heart Center Pmc
Primary Specialty: Specialist
Enumeration Date: Oct 23, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 1106A PORT ARTHUR TER
City: Leesville
State: Louisiana
ZIP Code: 71446-4636
Phone: (337) 392-1871

Authorized Official

Name: DR. REYMOND MEADAA, M.D.
Title: PRESIDENT
Phone: (337) 392-1871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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