Provider Demographics
NPI:1457391112
Name:CARDIOVASCULAR SERVICES OF ACADIANA
Entity Type:Organization
Organization Name:CARDIOVASCULAR SERVICES OF ACADIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MENUET
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:504-251-8802
Mailing Address - Street 1:3975 I49 SOUTH
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570
Mailing Address - Country:US
Mailing Address - Phone:504-251-8802
Mailing Address - Fax:
Practice Address - Street 1:3975 I49 SOUTH
Practice Address - Street 2:SUITE 200
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570
Practice Address - Country:US
Practice Address - Phone:504-251-8802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty