Graduated: 2014
NPI: 1588016711
Practice Locations (3)
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
4105 KIRKMAN ST
LAKE CHARLES, LA 706074603
3374758022
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
145 HOSPITAL DR
OAKDALE, LA 714633034
3376393001
DELTA HEALTH SERVICES LLC
SULPHUR, LA 70663
3374769599
Source: CMS National Downloadable File, September 2026.