Organization
CARLOS M. CHOUCINO, MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS M CHOUCINO M.D. (PRESIDENT)
(337) 477-7091
Entity
Organization
Contact information
Practice address
4805 KINGSPOINT DR, LAKE CHARLES, LA 70605-5985
(337) 477-7091
(337) 474-4552
Mailing address
4805 KINGSPOINT DR, LAKE CHARLES, LA 70605-5985
(337) 477-7091
(337) 474-4552
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700006864
OCCUPATIONAL LICENSE
LA
Enumeration date
03/07/2007
Last updated
08/22/2020
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