Organization
GULF COAST URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA CLAYTON GRAY NP (OWNER)
(337) 842-1397
Entity
Organization
Contact information
Practice address
404 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-8507
(337) 436-7216
(337) 436-7217
Mailing address
PO BOX 4755, LAKE CHARLES, LA 70606-4755
(337) 436-7216
(337) 436-7217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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