Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | PGY-2 | LA |
NPI | 1093902082 |
---|---|
Provider Name | Dr. James Huey Hebert |
First Address | Alexandria, LA 71301-3841 |
Second Address | Alexandria, LA 71301-3841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2007 |
Last Update Date | 21/03/2012 |