| NPI | 1518401652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH N. HEINEN Medical Doctor 337-457-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 204399) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |