Organization
THE PSYCHIATRIC MEDICINE INSTITUTE OF LA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HOUMA DIXON BOWERS III MD (OWNER)
(337) 264-1991
Entity
Organization
Contact information
Practice address
850 KALISTE SALOOM RD, STE 115, LAFAYETTE, LA 70508-4230
(337) 264-1991
(337) 264-1993
Mailing address
850 KALISTE SALOOM RD, STE 115, LAFAYETTE, LA 70508-4230
(337) 264-1991
(337) 264-1993
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
03/31/2008
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