Organization
CALCASIEU PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN MALLA (MEMBER)
(337) 446-2928
Entity
Organization
Contact information
Practice address
3649 S BEGLIS PKWY, SULPHUR, LA 70665-8107
(337) 446-2928
Mailing address
3649 S BEGLIS PKWY, SULPHUR, LA 70665-8107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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