| NPI | 1902064520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN N HEINEN President/Doctor 337-457-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 011464) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-07-02 |