NPI 1003479387
Louisiana Medshield LLC
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
Anesthesiology Physician
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.