Organization
GASTROENTEROLOGY ASSOCIATES OF SWLA LLC
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF SWLA LLC
Active
Other names
gi associates
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI SELF (PRACTICE MANAGER)
(337) 439-0762
Entity
Organization
Contact information
Practice address
555 DR. MICHAEL DEBAKEY DR., SUITE 101, LAKE CHARLES, LA 70601
(337) 439-0762
(337) 436-8862
Mailing address
555 DR. MICHAEL DEBAKEY DR., SUITE 101, LAKE CHARLES, LA 70601
(337) 439-0762
(337) 436-8862
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
02/03/2017
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