MEDICARE: ACADIANA HYPERBARICS, LTD

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	207RH0003X	Hematology & Oncology Physician	013868	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	:	1720053630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADIANA HYPERBARICS, LTD

Provider Business Mailing Address
First Line	:	204 BENT TREE TRAIL
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508
Country	:	US
Telephone Number	:	337-234-4535
Fax Number	:	337-235-4272

Provider Business Practice Location Address
First Line	:	4212 WEST CONGRESS
Second Line	:	SUITE 1401
City	:	LAFAYETTE
State	:	LA
Zip	:	70506
Country	:	US
Telephone Number	:	337-234-4535
Fax Number	:	337-235-4272

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LUIS ALBERTO MEZA
Credential	:	M.D.
Telephone Number	:	337-234-4535

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	08/29/2013

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