| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1306025598 | THE PLASTIC SURGERY CENTER OF SOUTHWEST LOUISIANA, LLC | 215 W PRIEN LAKE RD | LAKE CHARLES | LA | 706018450 | |||
| 1407338338 | SELIM SURGERY CENTER, LLC | 215 W PRIEN LAKE RD | LAKE CHARLES | LA | 706018450 | |||
| 1528459260 | LOUISIANA SURGEONS OF EXCELLENCE, LLC | 215 W PRIEN LAKE RD | LAKE CHARLES | LA | 706018450 | |||
| 1912421553 | MILLER | JAYLIN | BARKLEY | 215 W PRIEN LAKE RD | LAKE CHARLES | LA | 706018450 | |
| 1689789083 | SELIM | NIAZY | MAHMOUD | 215 W PRIEN LAKE RD | LAKE CHARLES | LA | 706018450 |