Organization
HUMPHRIES FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES TORRELL HUMPHRIES MD (OWNER/DOCTOR)
(337) 263-4958
Entity
Organization
Contact information
Practice address
3101 LAKE ST, SUITE 128, LAKE CHARLES, LA 70601-8337
(337) 479-0212
Mailing address
PO BOX 4492, LAKE CHARLES, LA 70606-4492
(337) 479-0212
(337) 474-7475
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
024656
LA
Other
Enumeration date
10/26/2006
Last updated
11/01/2007
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