| Jay Vega Md.,a.p.m.c. | |
|
13030 Highway 308 Larose LA 70373 | |
| (985) 798-5611 | |
| (985) 798-5648 |
| Full Name | Jay Vega Md.,a.p.m.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13030 Highway 308, Larose, Louisiana |
| Authorized Official Name and Position | Jay Vega (PRESIDENT OWNER) |
| Authorized Official Contact | 9857985611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Vega Md.,a.p.m.c. Po Box 508 Larose LA 70373-0508 Ph: (985) 798-5611 | Jay Vega Md.,a.p.m.c. 13030 Highway 308 Larose LA 70373 Ph: (985) 798-5611 |
| NPI Number | 1740485754 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740485754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 10085R (Louisiana) | Primary |
Lafourche Parish Hospital Service District No. 1 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13030 Highway 308, Larose, LA 70345 Phone: 985-798-7000 Fax: 985-798-7021 |