MEDICARE: J. DARVIN HALES, DO, FCCP, APMC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician	013979	LA
2	207RP1001X	Pulmonary Disease Physician	013979	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689739559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J. DARVIN HALES, DO, FCCP, APMC

Provider Business Mailing Address
First Line	:	2309 EAST MAIN STREET
Second Line	:	SUITE 202
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-0000
Country	:	US
Telephone Number	:	337-364-8500
Fax Number	:	337-364-8582

Provider Business Practice Location Address
First Line	:	2309 EAST MAIN STREET
Second Line	:	SUITE 202
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-0000
Country	:	US
Telephone Number	:	337-364-8500
Fax Number	:	337-364-8582

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES DARVIN HALES
Credential	:	DO, FCCP, DABSM
Telephone Number	:	337-364-8500

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	09/23/2009

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Directions to “J. DARVIN HALES, DO, FCCP, APMC ” Practice Location

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