Jay Vega MD.,a.P.M.C.
Organization Active NPI Primary Care Clinic/Center · Larose, LA
NPI 1740485754 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1740485754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 10085R (LA)
- Legal business name
- JAY VEGA MD.,A.P.M.C.
- Practice address
- 13030 Highway 308
Larose, LA 70373 - Phone
- (985) 798-5611
- Fax
- (985) 798-5648
- NPI assigned
- Jun 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Jay Vega, MD
- Title
- President Owner
- Phone
- (985) 798-5611
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 10085R | LA | Yes |
Addresses
Primary practice location
13030 Highway 308
Larose, LA 70373
Mailing address
PO Box 508
Larose, LA 70373-0508
Phone (985) 798-5611
Other providers in Larose, LA
- Jennifer Guidry
- Sabrina Hagar
- Kellie Hebert
- Deanna Simoncelli Hodson
- John G Jackson
- Lafourche Parish Hospital Service District No. 1
- Lafourche Parish Hospital Service District No. 1
- Rebecca Gates Ledet
- Shana Matherne
- Christine Dessauer McDaniel
All providers in Larose, LA · Primary Care Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.