Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FIDENCIO HERNAN DAVALOS, M.D.
Active Sole ProprietorDR. FIDENCIO HERNAN DAVALOS, M.D. is a Critical Care Medicine healthcare provider located in LAKE CHARLES, Louisiana. NPI 1265872725 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · LAKE CHARLES, LA
Registration Details
- NPI Number
- 1265872725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2013 (13.104087572941 yrs)
- Last Updated
- Mar 16, 2022
- Licenses
-
MD2017-0687 (NM)322076 (LA)287474 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2770 3RD AVE STE 350LAKE CHARLES, LA, 706010404Browse LA providers · Browse ZIP 70601
- Phone
- 3374942750
- Fax
- 3374942760
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Critical Care Medicine
Other Critical Care Medicine Providers in LAKE CHARLES, LA
| Name | Credential | NPI |
|---|---|---|
| JOHN BERCIER | DO | 1588168199 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.