Provider Demographics
NPI:1144289810
Name:HALES, JAMES DARVIN (DO, FCCP, DABSM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DARVIN
Last Name:HALES
Suffix:
Gender:M
Credentials:DO, FCCP, DABSM
Other - Prefix:
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Mailing Address - Street 1:2309 EAST MAIN STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-0000
Mailing Address - Country:US
Mailing Address - Phone:337-364-8500
Mailing Address - Fax:337-364-8582
Practice Address - Street 1:2309 EAST MAIN STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-0000
Practice Address - Country:US
Practice Address - Phone:337-364-8500
Practice Address - Fax:337-364-8582
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA013979207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1650986Medicaid
LA1650986Medicaid
LAD89003Medicare UPIN