Organization · Type 2 NPI

Calcasieu Cameron Hospital Service District

Otolaryngology/Facial Plastic Surgery Physician · Sulphur, LA

NPI number 1366700387 Active

Practice location

1629 Beglis Pkwy
Sulphur, LA 70663-5906

Fax (337) 439-2014

Mailing address

701 Cypress St
Sulphur, LA 70663-5053

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905XNone listed

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

About NPI 1366700387

Calcasieu Cameron Hospital Service District's National Provider Identifier is 1366700387, issued on Apr 27, 2012. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Sulphur, LA. The record was last updated on Sep 26, 2019.