Oncology And Hematology Institute Of Swla

NPI 1205125374 - Clinic/Center - 261QP2300X

NPI Details
NPI 1205125374
Enumeration Date 03/29/2011
Last Updated 03/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name HENRY JACKSON HENRY
Position PRESIDENT
Phone (337) 312-8234
Fax (337) 312-8411
Practice Location
780 BAYOU PINES EAST DR
LAKE CHARLES LA, 70601-7493, US
Phone (337) 312-8234
Fax (337) 312-8411
Business Location
780 BAYOU PINES EAST DR
LAKE CHARLES LA, 70601-7493, US
Phone (337) 312-8234
Fax (337) 312-8411
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Oncology And Hematology Institute Of Swla NPI is 1205125374, taxonomy code is 261QP2300X Oncology And Hematology Institute Of Swla physically located at 780 Bayou Pines East Dr, Lake Charles LA, 70601-7493. NPI Number 1033115704 has the healthcare provider type.

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1205125374 NPI number is provided on an as is basis without warranty of any kind. 1205125374 is maintained by the National Plan & Provider Enumeration System. The contents of Oncology And Hematology Institute Of Swla are for informational purposes only.