| Infinite Health Integrative Medicine Center Inc | |
|
2002 W Walnut St Ste 2 Lake Charles LA 70601-5690 | |
| (337) 312-8234 | |
| (337) 312-8411 |
| Full Name | Infinite Health Integrative Medicine Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2002 W Walnut St Ste 2, Lake Charles, Louisiana |
| Authorized Official Name and Position | Henry Jackson Goolsby (PRESIDENT) |
| Authorized Official Contact | 3373128234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Health Integrative Medicine Center Inc 2002 W Walnut St Ste 2 Lake Charles LA 70601-5690 Ph: (337) 312-8234 | Infinite Health Integrative Medicine Center Inc 2002 W Walnut St Ste 2 Lake Charles LA 70601-5690 Ph: (337) 312-8234 |
| NPI Number | 1205125374 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8123296704 |
|---|---|
| Medicare Enrollment ID | O20110726000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205125374 | NPI | - | NPPES |
| Provider Name | Henry J Goolsby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538109988 PECOS PAC ID: 2365344512 Enrollment ID: I20080415000259 |
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