Individual
DR. THOMAS HOWARD MCCALLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
816 W BAYOU PINES DR, LAKE CHARLES, LA 70601-7077
(337) 439-8588
(337) 439-0808
Mailing address
816 W BAYOU PINES DR, LAKE CHARLES, LA 70601-7077
(337) 439-8588
(337) 439-0808
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LA015416
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337251
—
LA
Enumeration date
01/03/2006
Last updated
07/08/2007
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