Christus Health Central Louisiana
Christus Health Central Louisiana is a Dental Clinic/Center in Coushatta, Louisiana. Licensed in Louisiana. Registered with an NPI since 2005.
- Licensed in
- LA
- In the registry since
- 2005
Practice location Address checks out
1401 Industrial DrCoushatta, LA 71019
Phone: (318) 932-2100
Fax: (318) 932-2010
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 551RHC-1 (LA) |
|---|
Record details
| NPI number | 1790767267 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Monte Wilson — Ceo · (337) 470-2100 |
| Other names | Christus Coushatta Dental Clinic; Christus Coushatta Dental Clinic |
| NPI enumerated | November 18, 2005 |
| Last updated in NPPES | October 20, 2022 |
| Certification date | October 20, 2022 |
| Mailing address | Po Box 847329, Dallas, TX 75284-7329 |