Individual
DARIN DOUMITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2770 3RD AVENUE, SUITE 120, LAKE CHARLES, LA 70601
(337) 494-4868
(337) 494-4870
Mailing address
PO BOX 122342 DEPT 2342, DALLAS, TX 75312-0001
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
204629
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054593
—
LA
01
—
MD.204629
STATE LICENSE
LA
Enumeration date
05/14/2008
Last updated
04/27/2022
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