Organization · Type 2 NPI
Christus Health Central Louisiana
Dental Clinic/Center · Coushatta, LA
NPI number
1790767267
Active
Practice location
1401 Industrial Dr
Coushatta, LA 71019
Fax (318) 932-2010
Mailing address
PO Box 847329
Dallas, TX 75284-7329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 551RHC-1 (LA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1790767267
Christus Health Central Louisiana's National Provider Identifier is 1790767267, issued on Nov 18, 2005. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Coushatta, LA. The record was last updated on Oct 20, 2022.