# ST MICHAELS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255178067
- **Authorized official:** DR. RONALD TYLER HEBERT MD (OWNER)
- **Authorized official phone:** (337) 339-3274

## Contact information

- **Practice address:** 2309 E MAIN ST STE 201, NEW IBERIA, LA 70560-4046
- **Practice address phone:** (337) 335-0240
- **Mailing address:** 715 E MAIN ST, NEW IBERIA, LA 70560-3823
- **Mailing address phone:** (337) 339-3274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2024
- **Last updated:** 07/09/2024