Individual
MIKE MOUNIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
443 HEYMANN BLVD, SUITE B, LAFAYETTE, LA 70503-2632
(337) 289-8429
(337) 289-8431
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD03758R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163376
—
LA
Enumeration date
08/31/2006
Last updated
10/04/2012
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