Active NPI
Eunice Family Practice, L.L.C.
- Legal Medicine
- Eunice, LA
National Provider Identifier
1699098491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 13221R
- Legal business name
- EUNICE FAMILY PRACTICE, L.L.C.
- Practice address
- 3521 Highway 190 Suite P
Eunice, LA 70535 - Phone
- (337) 457-8040
- Fax
- (337) 457-8043
- NPI assigned
- Mar 8, 2010
- Last updated
- Mar 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Michael Matherne, M.D.
- Title
- President
- Phone
- (337) 457-8040
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 14666R | LA | |
| Legal Medicine | 173000000X | 13221R | LA | Primary |
Addresses
Primary practice location
3521 Highway 190 Suite P
Eunice, LA 70535
Mailing address
3521 Highway 190 Suite P
Eunice, LA 70535
Phone (337) 457-8040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268006400000",
"number": "1699098491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3521 HIGHWAY 190 SUITE P",
"city": "EUNICE",
"state": "LA",
"postal_code": "70535",
"telephone_number": "337-457-8040",
"fax_number": "337-457-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 HIGHWAY 190 SUITE P",
"city": "EUNICE",
"state": "LA",
"postal_code": "70535",
"telephone_number": "337-457-8040",
"fax_number": "337-457-8043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUNICE FAMILY PRACTICE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A",
"authorized_official_last_name": "MATHERNE",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-457-8040",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "LA",
"license": "14666R",
"primary": false
},
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "LA",
"license": "13221R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eunice, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.