Healthcare Provider Details

I. General information

NPI: 1386539666
Provider Name (Legal Business Name): H10 PEDIATRICS & FAMILY CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 05/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CHURCH ST
GREENSBURG LA
70441
US

IV. Provider business mailing address

25135 LA HIGHWAY 1032
DENHAM SPGS LA
70726-5614
US

V. Phone/Fax

Practice location:
  • Phone: 225-485-2230
  • Fax:
Mailing address:
  • Phone: 225-485-2230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. LARA MCINTYRE AGUIRRE
Title or Position: OWNER, FNP
Credential: DNP, APRN, FNP-C
Phone: 225-485-2230