Healthcare Provider Details

I. General information

NPI: 1699049262
Provider Name (Legal Business Name): HULIN URGENT CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2012
Last Update Date: 06/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 E SAINT PETER ST
NEW IBERIA LA
70560-3932
US

IV. Provider business mailing address

1110 E SAINT PETER ST
NEW IBERIA LA
70560-3932
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. CLAYT HULIN
Title or Position: OWNER
Credential: PA-C
Phone: 337-364-1166