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NPI Code Detail

MEDICARE: DR. EDWARD RAY VILLEMEZ II M.D.

MEDICARE:  DR. EDWARD RAY VILLEMEZ II M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician008794LA

General Provider Information

NPI Number : 1982896650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD RAY VILLEMEZ II M.D.
Provider Business Mailing Address
First Line : 5413 JACKSON STREET EXT
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-2322
Country : US
Telephone Number : 318-445-8009
Fax Number :
Provider Business Practice Location Address
First Line : 5413 JACKSON STREET EXT
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-2322
Country : US
Telephone Number : 318-445-8009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 08/15/2007

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Directions to “ DR. EDWARD RAY VILLEMEZ II M.D.” Practice Location

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