Organization
ACADIANA HEART CLINIC APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R GUILLORY JR. M.D. (PRESIDENT)
(337) 236-3411
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR, SUITE 203, LAFAYETTE, LA 70503-2852
(337) 236-3411
(337) 236-3118
Mailing address
155 HOSPITAL DR, SUITE 203, LAFAYETTE, LA 70503-2852
(337) 236-3411
(337) 236-3118
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
016627
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440973
—
LA
Enumeration date
08/22/2005
Last updated
08/22/2020
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