Provider First Line Business Practice Location Address:
1978 INDUSTRIAL BLVD INTERNAL MEDICINE PROGRAM
Provider Second Line Business Practice Location Address:
CHABERT MEDICAL CENTER
Provider Business Practice Location Address City Name:
HOUMA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-873-2710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2020