FIDENCIO HERNAN DAVALOS

LAKE CHARLES, LA
NPI1265872725
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: NY  287474)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NM  MD2017-0687)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: LA  322076)
Enumeration Date2013-06-28
Last Update Date2022-03-16
Business Address
Dr. FIDENCIO HERNAN DAVALOS M.D.
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601-0404
Phone number: 337-494-2750
Mailing Address
Dr. FIDENCIO HERNAN DAVALOS M.D.
PO BOX 122309 DEPT 2309
DALLAS, TX 75312-0001
Phone number: 337-494-2772
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