Bryan Barootes, MD
Family Medicine in Lake Charles, LA. Individual provider (NPI-1).
NPI number1326040858
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1326040858
- Entity type
- Individual (NPI-1)
- Name
- Bryan Barootes
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2005
- Last updated
- Jan 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 13512R | LA | Yes |
Practice location
1525 Oak Park BlvdLake Charles, LA 70601-8849
Phone 337-494-6767 · Fax 337-494-6750
Mailing address
Po Box 123453Dept 3453
Dallas, TX 75312-3453
Phone 337-494-2772 · Fax 337-494-2928
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