Louisiana Medshield LLC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Houma, LA
NPI 1003479387 · NPPES record last updated Mar 25, 2020
Key facts
- NPI
- 1003479387
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- LOUISIANA MEDSHIELD LLC
- Practice address
- 430 Corporate Dr Ste a
Houma, LA 70360-2514 - Phone
- (985) 333-1421
- Fax
- (985) 262-4651
- NPI assigned
- Apr 22, 2019
- Organization subpart
- No
Authorized official
- Name
- Beau Porche, D.C.
- Title
- Authorized Official/Owner
- Phone
- (985) 873-8586
National Provider Directory
Locations
430 Corporate Dr
Ste A
Houma, LA 70360
Phone (985) 333-1421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes |
Addresses
Primary practice location
430 Corporate Dr Ste a
Houma, LA 70360-2514
Mailing address
430 Corporate Dr Ste a
Houma, LA 70360-2514
Phone (985) 333-1421
Other providers in Houma, LA
- Louisiana CVS Pharmacy, L.L.C.
- Louisiana CVS Pharmacy, L.L.C.
- Louisiana Em-I Medical Services, a Medical Corporation
- Louisiana Home Healthcare Partners, LLC
- Louisiana Home Visits MD L.L.C.
- Louisiana Orthodontic Specialists
- Amanda Graham Lucas
- Kellie Lyn Lucas
- Natoya Lucas
- Jamie M Luke
All providers in Houma, LA · Pain Medicine (Anesthesiology) Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.