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UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA NPI 1942282256


NPI Information

NPI: 1942282256
Provider Name: UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
234 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 439-8857
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UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA is an ambulatory surgical clinic center in Lake Charles, LA. UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA NPI is 1942282256. The provider is registered as an organization entity type.

The provider's business location address is:

234 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA
ZIP 70601-960
Phone: (337) 439-8857
Fax: (337) 433-1159

The provider's authorized official is Kenneth S Verheeck .
The authorized official title is Medical Director and has the following contact phone number (337) 439-8857.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 7/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical42LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111034MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
2490001185OTHERLOUISIANARAILROAD MEDICARE
32097COTHERLOUISIANABLUE CROSS BLUE SHIELD
4=========0000OTHERLOUISIANATRICARE
51390429MEDICAIDLOUISIANA
6=========OTHERLOUISIANAUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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