Individual
MRS. MINDY GAUBERT HYMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-6242
Mailing address
122 REFUGE DR, LULING, LA 70070-3239
(504) 201-1254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00558
MS
363AM0700X
Medical Physician Assistant
Primary
PA.200878
LA
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09051054
—
MS
05
—
2402463
—
LA
Enumeration date
08/10/2015
Last updated
01/04/2023
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