Organization
IMPERIAL HEALTH, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA C RICHARD CMPE (ASSISTANT ADMINISTRATOR)
(337) 312-8291
Entity
Organization
Contact information
Practice address
1327 STELLY LANE, SUITE 3, SULPHUR, LA 70663
(337) 310-3670
(337) 421-1408
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8420
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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