Healthcare Provider Details

I. General information

NPI: 1487286431
Provider Name (Legal Business Name): HULIN URGENT CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 02/07/2020
Certification Date: 02/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3217 JOHNSTON ST
LAFAYETTE LA
70503-3743
US

IV. Provider business mailing address

1309 DUCHAMP RD
BROUSSARD LA
70518-7603
US

V. Phone/Fax

Practice location:
  • Phone: 337-364-1166
  • Fax: 337-364-7090
Mailing address:
  • Phone: 337-852-9530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CLAYT W. HULIN
Title or Position: OWNER
Credential:
Phone: 337-852-9530