| NPI | 1992061709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM J HEBERT President 318-619-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 204031) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1438) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |