Provider Demographics
NPI:1720053630
Name:ACADIANA HYPERBARICS, LTD
Entity Type:Organization
Organization Name:ACADIANA HYPERBARICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:MEZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-234-4535
Mailing Address - Street 1:204 BENT TREE TRAIL
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-234-4535
Mailing Address - Fax:337-235-4272
Practice Address - Street 1:4212 WEST CONGRESS
Practice Address - Street 2:SUITE 1401
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506
Practice Address - Country:US
Practice Address - Phone:337-234-4535
Practice Address - Fax:337-235-4272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA013868207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1793311Medicaid
LA0631390001Medicare NSC
LA1793311Medicaid