Acadiana Heart Clinic Apmc

Organization Active NPI Cardiovascular Disease Physician · Lafayette, LA

NPI 1366434631 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1366434631
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
016627 (LA)
Legal business name
ACADIANA HEART CLINIC APMC
Practice address
155 Hospital Dr
Suite 203
Lafayette, LA 70503-2852
Phone
(337) 236-3411
Fax
(337) 236-3118
NPI assigned
Aug 22, 2005
Organization subpart
No

Authorized official

Name
William R Guillory Jr., M.D.
Title
President
Phone
(337) 236-3411

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RC0000X 016627 LA Yes

Addresses

Primary practice location

155 Hospital Dr
Suite 203
Lafayette, LA 70503-2852

Mailing address

155 Hospital Dr
Suite 203
Lafayette, LA 70503-2852
Phone (337) 236-3411

Other identifiers

IdentifierTypeStateIssuer
1440973MedicaidLA

Other providers in Lafayette, LA

All providers in Lafayette, LA · Cardiovascular Disease Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.