MEDICARE: ACUTE PAIN CENTER LLC

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	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician		LA
2	2084N0400X	Neurology Physician	201074	LA

General Provider Information

NPI Number	:	1720502362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUTE PAIN CENTER LLC

Provider Business Mailing Address
First Line	:	3409 DIVISION ST
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-4611
Country	:	US
Telephone Number	:	504-454-7246
Fax Number	:	504-454-3299

Provider Business Practice Location Address
First Line	:	3409 DIVISION ST
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-4611
Country	:	US
Telephone Number	:	504-454-7246
Fax Number	:	504-454-3299

Authorized Official
Title or Position	:	M.D./OWNER
Name	:	DR. TROY BEAUCOUDRAY
Credential	:	M.D.
Telephone Number	:	504-454-7246

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	07/21/2022

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Directions to “ACUTE PAIN CENTER LLC ” Practice Location

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