Healthcare Provider Details

I. General information

NPI: 1558049163
Provider Name (Legal Business Name): FAST AID URGENT CARE- BELLE CHASSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8732 HIGHWAY 23 STE A
BELLE CHASSE LA
70037-2228
US

IV. Provider business mailing address

PO BOX 33173
SAN ANTONIO TX
78265-3173
US

V. Phone/Fax

Practice location:
  • Phone: 210-906-8478
  • Fax: 210-787-2030
Mailing address:
  • Phone: 210-890-8840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHARLES E. HEAUSLER
Title or Position: CEO
Credential: PA
Phone: 210-906-8478