Healthcare Provider Details

I. General information

NPI: 1801852207
Provider Name (Legal Business Name): DAVID BENJAMIN WARE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 MOOSA BLVD
EUNICE LA
70535-3638
US

IV. Provider business mailing address

281 MOOSA BLVD
EUNICE LA
70535-3638
US

V. Phone/Fax

Practice location:
  • Phone: 337-457-2200
  • Fax: 337-457-2203
Mailing address:
  • Phone: 337-457-2200
  • Fax: 337-457-2203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number14666R
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number14666R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: