Provider Demographics
NPI:1427876861
Name:SOUTHERN PAIN & ANESTHESIA CONSULTANTS LLC
Entity type:Organization
Organization Name:SOUTHERN PAIN & ANESTHESIA CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUBBELL
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:504-887-7207
Mailing Address - Street 1:PO BOX 7725
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70010
Mailing Address - Country:US
Mailing Address - Phone:504-887-7207
Mailing Address - Fax:504-889-1868
Practice Address - Street 1:3939 HOUMA BLVD
Practice Address - Street 2:BLDG 2 SUITE 6
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006
Practice Address - Country:US
Practice Address - Phone:504-887-7207
Practice Address - Fax:504-889-1868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1881622538Medicaid