Organization
SWLA CENTER FOR HEALTH SERVICES
Active
Other names
Women's and Children's
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRENT III (CEO)
(337) 296-9177
Entity
Organization
Contact information
Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 769-9451
(337) 769-9460
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/30/2021
Last updated
04/21/2025
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