Organization
IMPERIAL HEALTH, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA RICHARD CMPE (CHIEF OPERATING OFFICER)
(337) 312-8291
Entity
Organization
Contact information
Practice address
1327 STELLY LANE, SUITE 2, SULPHUR, LA 70663
(337) 310-3670
(337) 421-1408
Mailing address
501 DR. MICHAEL DEBAKEY DRIVE, LAKE CHARLES, LA 70601
(337) 312-8360
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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