Organization
PSYCHIATRIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHTESHAM U SYED MD (OWNER)
(337) 433-9177
Entity
Organization
Contact information
Practice address
324 W HALE ST, LAKE CHARLES, LA 70601-8439
(337) 433-9177
(337) 433-9173
Mailing address
324 W HALE ST, LAKE CHARLES, LA 70601-8439
(337) 433-9177
(337) 433-9173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1823694
—
LA
Enumeration date
12/30/2009
Last updated
04/24/2019
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