# IMPERIAL HEALTH, LLP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** IMPERIAL CALCASIEU MEDICAL GROUP LLP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144577719
- **Authorized official:** TONYA RICHARD (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (337) 312-8291

## Contact information

- **Practice address:** 122 W 4TH ST, DEQUINCY, LA 70633-3508
- **Practice address phone:** (337) 401-4920
- **Practice address fax:** (337) 313-4237
- **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 | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 08/13/2012
- **Last updated:** 01/16/2017