Healthcare Provider Details

I. General information

NPI: 1306893086
Provider Name (Legal Business Name): PHYSICIAN BILLING SFN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 MEDICAL PARK DR SUITE D
MONROE LA
71203-2388
US

IV. Provider business mailing address

PO BOX 3249
MONROE LA
71210-3249
US

V. Phone/Fax

Practice location:
  • Phone: 318-388-1946
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD E HOGAN
Title or Position: CFO/SR VP FINANCE SFMC
Credential:
Phone: 318-327-7369