# CLINIC808 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194681551
- **Authorized official:** DR. ROBERT DALE BERNAUER JR. MD (OWNER)
- **Authorized official phone:** (337) 564-0001

## Contact information

- **Practice address:** 6105 W MYRTLE BAY DR, LAKE CHARLES, LA 70605-3149
- **Practice address phone:** (337) 564-0001
- **Mailing address:** 6105 W MYRTLE BAY DR, LAKE CHARLES, LA 70605-3149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2025
- **Last updated:** 12/30/2025