Individual
JOHN R HEBERT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, RADIOLOGY DEPARTMENT, SHREVEPORT, LA 71105-6800
(318) 681-4347
Mailing address
PO BOX 3488, DEPT. 05-045, TUPELO, MS 38803-3488
(918) 392-1705
(844) 876-0880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MC024990
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1423084
—
LA
Enumeration date
06/09/2006
Last updated
02/05/2019
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