Organization
IMPERIAL HEALTH-CARDIOVASCULAR SPECIALISTS OF SWLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELA JOSEPH (HIM MANAGER)
(337) 312-8472
Entity
Organization
Contact information
Practice address
600 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5727
(337) 436-3813
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP07952
LA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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