Individual
DR. CARLOS M CHOUCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 475-8100
(337) 475-8416
Mailing address
PO BOX 122165 DEPT 2165, DALLAS, TX 75312-2165
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
11215R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1663395
—
LA
01
—
F33789
UPN
LA
Enumeration date
03/24/2006
Last updated
02/22/2022
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