Provider Demographics
NPI:1144212069
Name:BARRIOS, DAVE J III (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVE
Middle Name:J
Last Name:BARRIOS
Suffix:III
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:200 BEAULLIEU DR
Mailing Address - Street 2:BLDG 3B
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7230
Mailing Address - Country:US
Mailing Address - Phone:337-261-9004
Mailing Address - Fax:337-261-9002
Practice Address - Street 1:200 BEAULLIEU DR
Practice Address - Street 2:BLDG 3B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7230
Practice Address - Country:US
Practice Address - Phone:337-261-9004
Practice Address - Fax:337-261-9002
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2011-01-25
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Provider Licenses
StateLicense IDTaxonomies
LA023007208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1483001Medicaid
LA5E058Medicare ID - Type Unspecified
LA1483001Medicaid