Provider Demographics
NPI:1508144700
Name:IN-HOME PHYSICIAN SERVICES OF LOUISIANA
Entity Type:Organization
Organization Name:IN-HOME PHYSICIAN SERVICES OF LOUISIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-588-0990
Mailing Address - Street 1:2024 LAC CACHE CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-8363
Mailing Address - Country:US
Mailing Address - Phone:225-588-0990
Mailing Address - Fax:
Practice Address - Street 1:2024 LAC CACHE CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8363
Practice Address - Country:US
Practice Address - Phone:225-588-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty