Organization
LAKE CHARLES AMBULATORY SURGERY CENTER, LP
Active
Other names
Cardiovascular Outpatient Surgery Center of Southwest Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BEMIS (AUTHORIZED OFFICIAL)
(858) 504-5667
Entity
Organization
Contact information
Practice address
401 DR MICHAEL DEBAKEY DR, SUITE 310, LAKE CHARLES, LA 70601-5864
(337) 602-9991
Mailing address
PO BOX 4417, DEPT #6026, HOUSTON, TX 77210-4417
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
06/23/2023
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