| Hospitalist Medicine Physicians Of Texas - Tcs, Pllc | |
|
4200 Nelson Rd Lake Charles LA 70605-4118 | |
| (337) 474-6370 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Texas - Tcs, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4200 Nelson Rd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Texas - Tcs, Pllc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Hospitalist Medicine Physicians Of Texas - Tcs, Pllc 4200 Nelson Rd Lake Charles LA 70605-4118 Ph: (337) 474-6370 |
| NPI Number | 1285270488 |
|---|---|
| Provider Enumeration Date | 11/22/2019 |
| Last Update Date | 11/22/2019 |
| Medicare PECOS PAC ID | 5597192708 |
|---|---|
| Medicare Enrollment ID | O20200228001081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285270488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yang-tze Yoko Broussard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922099662 PECOS PAC ID: 5496819666 Enrollment ID: I20090204000698 |
| Provider Name | Venkata Kishore Reddy Mukku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952764268 PECOS PAC ID: 6002191525 Enrollment ID: I20191023000921 |
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