Organization
FAMILY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY D BERNARD D.C. (OWNER)
(985) 868-0037
Entity
Organization
Contact information
Practice address
205 BAYOU GARDENS BLVD STE E1, HOUMA, LA 70364-1477
(985) 868-0037
(985) 223-4478
Mailing address
205 BAYOU GARDENS BLVD STE E1, HOUMA, LA 70364-1477
(985) 868-0037
(985) 223-4478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
913
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5639644800
BLUE CROSS/BLUE SHEILD
LA
Enumeration date
03/20/2008
Last updated
03/20/2008
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