UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA
Surgery Yellow Pages
Lake Charles, Louisiana
Provider NPI: 1942282256
Organization Information:Organization Name: UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA
Practice Location:
234 DR MICHAEL DEBAKEY DR LAKE CHARLES, LA 70601 US
Tel: 337-439-8857 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
234 DR MICHAEL DEBAKEY DR LAKE CHARLES, LA 70601 US
Tel: 337-439-8857 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | LA | 42 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | 490001185 | LA | 01 |
BLUE CROSS BLUE SHIELD | 2097C | LA | 01 |
1390429 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin