Organization
INFINITE HEALTH INTEGRATIVE MEDICINE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY JACKSON GOOLSBY III M.D. (PRESIDENT)
(337) 312-8234
Entity
Organization
Contact information
Practice address
2002 W WALNUT ST STE 2, LAKE CHARLES, LA 70601-5690
(337) 312-8234
(337) 312-8411
Mailing address
2002 W WALNUT ST STE 2, LAKE CHARLES, LA 70601-5690
(337) 312-8234
(337) 312-8411
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QX0200X
Oncology Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/29/2011
Last updated
07/21/2022
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