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Organization
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Active
Organization
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Active
Other names
WASHINGTON-MARION SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL TREVINO (CEO)
(337) 491-7730
Entity
Organization
Contact information
Practice address
2802 PINEVIEW ST, LAKE CHARLES, LA 70615-2063
(337) 217-4540
(337) 439-5029
Mailing address
524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
(337) 217-4540
(337) 439-5029
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447153
—
LA
Enumeration date
06/30/2008
Last updated
07/05/2022
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