Healthcare Provider Details

I. General information

NPI: 1043197254
Provider Name (Legal Business Name): HEALTHPATHWAYS LA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 KEYSER AVE
NATCHITOCHES LA
71457-6018
US

IV. Provider business mailing address

PO BOX 43
NATCHITOCHES LA
71458-0043
US

V. Phone/Fax

Practice location:
  • Phone: 318-214-4153
  • Fax:
Mailing address:
  • Phone: 954-445-1461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIAN F NARANJO
Title or Position: DIRECTOR
Credential: MD
Phone: 954-445-1461