NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1083711006 |   |   |   | CARDIOVASCULAR SPECIALISTS OF SOUTHWEST LOUISIANA, LLC | 600 DR MICHAEL DEBAKEY DR | LAKE CHARLES | LA | 706015727 |
1487046694 | DOUGHERTY | TIMOTHY | JOSEPH |   | 711 DR MICHAEL DEBAKEY DR | LAKE CHARLES | LA | 706015785 |
1568438984 | FASTABEND | CARL | P |   | 711 DR MICHAEL DEBAKEY DR | LAKE CHARLES | LA | 706015785 |