Individual
EDWARD V HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4345 NELSON RD FL 2, LAKE CHARLES, LA 70605-4156
(337) 494-6800
(337) 494-6811
Mailing address
PO BOX 122205 DEPT 2205, DALLAS, TX 75312-2205
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L025333
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1575585
—
LA
01
—
MD.025333
STATE LICENSE
LA
Enumeration date
11/05/2006
Last updated
02/04/2022
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