Organization
EUNICE FAMILY PRACTICE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL MATHERNE M.D. (PRESIDENT)
(337) 457-8040
Entity
Organization
Contact information
Practice address
3521 HIGHWAY 190 SUITE P, EUNICE, LA 70535
(337) 457-8040
(337) 457-8043
Mailing address
3521 HIGHWAY 190 SUITE P, EUNICE, LA 70535
(337) 457-8040
(337) 457-8043
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
13221R
LA
173000000X
Legal Medicine
14666R
LA
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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