Healthcare Provider Details

I. General information

NPI: 1467959718
Provider Name (Legal Business Name): ERIC MEAUX FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 HAIFLEIGH ST
FRANKLIN LA
70538-3854
US

IV. Provider business mailing address

502 HAIFLEIGH ST
FRANKLIN LA
70538-3854
US

V. Phone/Fax

Practice location:
  • Phone: 337-828-2309
  • Fax: 337-828-1491
Mailing address:
  • Phone: 985-870-2736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number09843
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: