Individual
MR. WILLIAM CARL NABOURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4345 NELSON RD STE 102, LAKE CHARLES, LA 70605-4183
(337) 480-7900
(337) 602-6358
Mailing address
PO BOX 123594 DEPT 3594, DALLAS, TX 75312-3594
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014594
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1315966
—
LA
01
—
MD.014594
STATE LICENSE
LA
Enumeration date
07/27/2005
Last updated
04/28/2022
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