Organization
SOUTHERN HEALTHCARE OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN F HEINRICH III (OWNER)
(985) 445-1345
Entity
Organization
Contact information
Practice address
1340 GAUSE BLVD W, SLIDELL, LA 70460
Mailing address
1340 GAUSE BLVD W, SLIDELL, LA 70460-5764
(985) 445-1345
(985) 400-3121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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