Provider Demographics
NPI:1386259935
Name:PAIN INSTITUTE OF LA LLC
Entity type:Organization
Organization Name:PAIN INSTITUTE OF LA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-266-9949
Mailing Address - Street 1:204 PETROLEUM DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3880
Mailing Address - Country:US
Mailing Address - Phone:337-266-9949
Mailing Address - Fax:337-266-9951
Practice Address - Street 1:204 PETROLEUM DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3880
Practice Address - Country:US
Practice Address - Phone:337-266-9949
Practice Address - Fax:337-266-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty