Organization
CHRISTUS HEALTH CENTRAL LOUISIANA
Active
Other names
CHRISTUS COUSHATTA PHYSICIAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE WILSON (CEO)
(337) 470-2100
Entity
Organization
Contact information
Practice address
1635 MARVEL ST, COUSHATTA, LA 71019-9022
(318) 932-2168
(318) 932-2186
Mailing address
PO BOX 847329, DALLAS, TX 75284-7329
(800) 756-7999
(469) 282-1791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/13/2021
Last updated
05/17/2024
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