Individual
HUEY H MOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 SERIO BLVD, FERRIDAY, LA 71334
(318) 757-3696
(318) 757-8099
Mailing address
112 SERIO BLVD, PO BOX 1787, FERRIDAY, LA 71334
(318) 757-3696
(318) 757-8099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018269
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360198
—
LA
Enumeration date
01/30/2006
Last updated
06/21/2010
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