Individual
DR. LUIS N HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
726 N ACADIA RD, SUITE 2400, THIBODAUX, LA 70301-4847
(985) 493-4090
(985) 493-4081
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 493-4004
(985) 493-4081
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
15684
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
015684
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1359441
—
LA
Enumeration date
07/05/2006
Last updated
02/07/2017
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