SearchLouisiana207RC0200X

Fidencio Davalos, M.D

NPI 1265872725 · on the registry since 2013 · sole proprietor

Practice

Address
2770 3rd Ave Ste 350
Lake Charles, LA 70601
Phone
(337) 494-2750
Fax
(337) 494-2760
Organisation at this address
Swlhs Llc
Swlhs, Inc.
Swlhs Oncology, Inc.
Second Avenue Mri Llc
Digestive Health Center Of Swla
Inferred from a shared address, not stated in the registry.
Clinicians at this address
54

Registry record

Primary taxonomy
207RC0200X
207RC0200X
Also registered as
207R00000X
207RC0200X
Licence states on file
NM, LA, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana