Organization
UROLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI L DAVIS (ADMINISTRATOR)
(337) 439-8857
Entity
Organization
Contact information
Practice address
234 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5960
(337) 439-8857
(337) 433-1159
Mailing address
234 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5960
(337) 439-8857
(337) 433-1159
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
207212
LA
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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