# CENLA HEALTHCARE PHYSICAL MEDICINE

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

## Provider details

- **NPI number:** 1992061709
- **Authorized official:** ADAM J HEBERT DC (PRESIDENT)
- **Authorized official phone:** (318) 619-1112

## Contact information

- **Practice address:** 3021 HIGHWAY 28 E, PINEVILLE, LA 71360-5718
- **Practice address phone:** (318) 619-1114
- **Practice address fax:** (318) 619-1115
- **Mailing address:** 3021 HIGHWAY 28 E, PINEVILLE, LA 71360-5718
- **Mailing address phone:** (318) 619-1114
- **Mailing address fax:** (318) 619-1115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1438 | LA | — |
| 207Q00000X | Family Medicine Physician | 204031 | LA | Yes |

## Other

- **Enumeration date:** 04/05/2012
- **Last updated:** 04/05/2012