Provider Demographics
NPI:1619234176
Name:THE BURN SURGEONS OF ACADIANA, LLC
Entity Type:Organization
Organization Name:THE BURN SURGEONS OF ACADIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:337-261-9004
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 1:4801 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6917
Practice Address - Country:US
Practice Address - Phone:337-470-4279
Practice Address - Fax:337-470-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty