| NPI | 1598245623 |
|---|---|
| Doing Business As | IMCAL PRIMARY CARE |
| Doing Business As | IMPERIAL CALCASIEU HSA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELA MICHELE THOMAS Billing Supervisor 337-475-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2022-07-19 |