# IMPERIAL HEALTH LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Orthopaedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083749162
- **Authorized official:** TONYA RICHARD (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (337) 312-8291

## Contact information

- **Practice address:** 1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
- **Practice address phone:** (337) 721-7236
- **Practice address fax:** (337) 721-7237
- **Mailing address:** 501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
- **Mailing address phone:** (337) 433-8400
- **Mailing address fax:** (337) 312-6708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | LA | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | LA | — |
| 213E00000X | Podiatrist | — | LA | — |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 01/16/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CI9478 | RAILROAD MEDICARE GROUP | LA |