Healthcare Provider Details

I. General information

NPI: 1568863306
Provider Name (Legal Business Name): BRITNI HEBERT, M.D., APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4809 AMBASSADOR CAFFERY PKWY SUITE 410
LAFAYETTE LA
70508-8800
US

IV. Provider business mailing address

4809 AMBASSADOR CAFFERY PKWY SUITE 410
LAFAYETTE LA
70508-8800
US

V. Phone/Fax

Practice location:
  • Phone: 337-504-3335
  • Fax: 337-504-4795
Mailing address:
  • Phone: 337-504-3335
  • Fax: 337-504-4795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITNI F HEBERT
Title or Position: PHYSICIAN
Credential: MD
Phone: 337-504-3335