Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

McNeese State University

Organization Family Medicine Physician · NPI 1750863957

McNeese State University is a Family Medicine Physician in Lake Charles, Louisiana. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

700 E McNeese St
Lake Charles, LA 70607-5832
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1750863957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names McNeese Sports Medicine
NPI enumeratedSeptember 4, 2018
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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