Healthcare Provider Details

I. General information

NPI: 1083223150
Provider Name (Legal Business Name): HULIN URGENT CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2020
Last Update Date: 07/24/2020
Certification Date: 07/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 STERLINGTON RD
MONROE LA
71203-2535
US

IV. Provider business mailing address

1012 PETROLEUM PKWY
BROUSSARD LA
70518-8020
US

V. Phone/Fax

Practice location:
  • Phone: 318-543-0106
  • Fax: 318-543-0107
Mailing address:
  • Phone: 337-465-4600
  • 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: KELLY PREJEAN
Title or Position: PROVIDER ENROLLMENT COORDINATOR
Credential:
Phone: 337-465-4600