Individual
RONALD S KOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
641 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5726
(337) 433-4651
(337) 439-1702
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
013236
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
013236
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020002008
RAILROAD MEDICARE ID
LA
05
—
1319902
—
LA
01
—
1700823
UNITED HEALTH ID
LA
01
—
1942352
FIRST HEALTH ID#
LA
01
—
721164556
TAX ID#
LA
Enumeration date
03/09/2006
Last updated
01/30/2017
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