PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC

LAKE CHARLES, LA
NPI1962559740
Entity TypeOrganization
Authorized ContactMUDAR M KATTASH
Owner
337-562-2293
Organization Subpart ?No
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
(Licence: LA  MD.203075)
Additional Taxonomies2080P0202X Pediatrics, Pediatric Cardiology
(Licence: LA  MD.12869R)
Enumeration Date2007-01-04
Last Update Date2017-04-10
Business Address
PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
2005 SOUTHWOOD DR
LAKE CHARLES, LA 70605-4139
Phone number: 337-562-2293
Mailing Address
PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
2005 SOUTHWOOD DR
LAKE CHARLES, LA 70605-4139
Phone number: 337-562-2293