Healthcare Provider Details
I. General information
NPI: 1629560347
Provider Name (Legal Business Name): HULIN URGENT CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/30/2018
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1050 E ADMIRAL DOYLE DR STE A
NEW IBERIA LA
70560-6711
US
IV. Provider business mailing address
1050 E ADMIRAL DOYLE DR STE A
NEW IBERIA LA
70560-6711
US
V. Phone/Fax
- Phone: 337-465-2159
- Fax: 337-465-4604
- Phone: 337-364-1166
- Fax: 337-364-7090
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERICKA
DEES
Title or Position: AO
Credential:
Phone: 337-465-2159