Individual
DR. HENRY J GOOLSBY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 W WALNUT ST STE 2, LAKE CHARLES, LA 70601-5690
(337) 312-8234
(337) 312-8411
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8360
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
201907
LA
207RH0003X
Hematology & Oncology Physician
Primary
MD0000024339
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1130664
—
LA
Enumeration date
06/07/2006
Last updated
07/21/2022
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