| Vernon Mht Llc | |
|
201 W Arkansas St Leesville LA 71446-4752 | |
| (855) 860-2109 | |
| Not Available |
| Full Name | Vernon Mht Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 W Arkansas St, Leesville, Louisiana |
| Authorized Official Name and Position | Hanna Lubbos (OWNER) |
| Authorized Official Contact | 3374235020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Mht Llc 1515 Heritage Dr Suite 110 Mckinney TX 75069-3256 Ph: (855) 860-2109 | Vernon Mht Llc 201 W Arkansas St Leesville LA 71446-4752 Ph: (855) 860-2109 |
| NPI Number | 1265856033 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265856033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11793R (Louisiana) | Primary |
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