Calcasieu Primary Care LLC

NPI #1861887531 in Sulphur, Louisiana

Provider Information

NPI Number: 1861887531
Entity Type: Organization
Organization Name: Calcasieu Primary Care LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 31, 2015
Last Updated: Mar 31, 2015

Practice Location

Address: 3649 S BEGLIS PKWY
City: Sulphur
State: Louisiana
ZIP Code: 70665-8107
Phone: (337) 446-2928

Authorized Official

Name: NITIN MALLA
Title: MEMBER
Phone: (337) 446-2928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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