| NPI | 1588622575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P HEINEN Owner 337-477-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2023-06-15 |