Organization
IMPERIAL HEALTH, LLP
Active
Other names
IMPERIAL CALCASIEU MEDICAL GROUP LLP
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA RICHARD (ASSISTANT ADMINISTRATOR)
(337) 312-8291
Entity
Organization
Contact information
Practice address
122 W 4TH ST, DEQUINCY, LA 70633-3508
(337) 401-4920
(337) 313-4237
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 433-8400
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
08/13/2012
Last updated
01/16/2017
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