Whalio Doctors

NPI 1003479387

Louisiana Medshield LLC

Organisation Pain Medicine (Anesthesiology) Physician Houma, LA

Practice location

Address
430 Corporate Dr STE a, Houma, LA 70360-2514
Phone
(985) 333-1421
Fax
(985) 262-4651

Authorised official

Name
Beau Porche
Title
Authorized Official/Owner
Phone
(985) 873-8586

Registered specialties (2)

Pain Medicine (Anesthesiology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Registry record

NPI
1003479387
Entity type
Organization
NPI issued
22 Apr 2019
Record last updated
25 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.