# IMPERIAL HEALTH, LLP

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

## Provider details

- **NPI number:** 1457751307
- **Authorized official:** MR. KEITH BROACH (CEO/PRESIDENT)
- **Authorized official phone:** (337) 433-8400

## Contact information

- **Practice address:** 1322 ELTON RD, SUITE H, JENNINGS, LA 70546-4100
- **Practice address phone:** (337) 246-7200
- **Practice address fax:** (337) 246-7202
- **Mailing address:** 501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
- **Mailing address phone:** (337) 312-8360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | LA | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | LA | — |

## Other

- **Enumeration date:** 08/28/2014
- **Last updated:** 08/28/2014