Mark Damian Declouet Jr. (NPI# 1386925683, PAC ID# 9133391055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1386925683 |
| PAC ID by PECOS | 9133391055 |
| Professional Enrollment ID | I20150415000860 |
| Full Name | Mark Damian Declouet Jr. |
| Organization Legal Name | ACADIANA PSYCHIATRIC SOLUTIONS LLC |
| Address |
1116 Coolidge Blvd Lafayette LA 70503-2635 |
| Phone Number | 3373222471 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517285992 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1116 Coolidge Blvd, Lafayette, LA 70503-2635 | 3373222471 | ACADIANA PSYCHIATRIC SOLUTIONS LLC |
| Organization Legal Name | ACADIANA PSYCHIATRIC SOLUTIONS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Lee Kight | Nurse Practitioner | Acadiana Psychiatric Solutions LLC | 215 Rue Fountaine, Lafayette, LA 70508-5742 |
| Street Address |
1116 COOLIDGE BLVD |
| City | LAFAYETTE |
| State | LA |
| Zip | 70503-2635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byrnes E Tatford | Physical Therapy | Mts-lgh Therapy Services LLC | 111 Pasa Place, Lafayette, LA 70503 |
| John M Bienvenu | Physical Therapy | Mts-lgh Therapy Services LLC | 111 Pasa Place, Lafayette, LA 70503 |
| Zachary J Mire | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Kerry J.c Hoffpauir | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Rodi L Aucoin | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Jeffrey T Faber | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Francesca Marie Marino | Chiropractic | Leblanc Spine and Nerve, LLC | 1014 Auburn Ave, Lafayette, LA 70503-2360 |
| Jiles P Leblanc | Chiropractic | Leblanc Spine and Nerve, LLC | 1014 Auburn Ave, Lafayette, LA 70503-2360 |
| Christopher B Davis | Physical Therapy | Pain and Performance Rehab Inc | 325 Oil Ctr Dr, Lafayette, LA 70503-2419 |
| Derrick Hines | Physical Therapy | Pain and Performance Rehab Inc | 325 Oil Ctr Dr, Lafayette, LA 70503-2419 |
| Find all physicians in zip 70503 | |||
| City | LAFAYETTE |
| Zip Code | 70503 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAFAYETTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mark Damian Declouet Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.