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Dr. John H Upshaw JR., MD
Urology Physician in Lake Charles, Louisiana
NPI 1598770869

John H Upshaw JR. is a Urology Physician based in Dallas, LA. John H Upshaw JR. practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for John H Upshaw JR. is 1598770869 and holds a License No. MD.023910.R (Louisiana).

The current practice location address for John H Upshaw JR. is 2770 3Rd Ave Ste 240, Lake Charles, LA and can be reached out via phone at 337-494-4656 and via fax at 337-494-4657. You can also correspond with John H Upshaw JR. through the mailing address at PO BOX 122525 DEPT 2525, DALLAS, TX - 75312-0001 (mailing address contact number: 337-494-2921).

Location: 2770 3Rd Ave Ste 240, Lake Charles, LA, 75312-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598770869
Provider Name
John H Upshaw JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2770 3Rd Ave Ste 240, Lake Charles, LA, 75312-0001
Phone Number
337-494-4656
Fax Number
337-494-4657
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD.023910.R 01 LA STATE MEDICAL LICENSE
1577731 05 LA
institution
Provider Business Practice Location Address Details
Address
2770 3Rd Ave Ste 240
City
Lake Charles
State
Louisiana
Zip
70601-8994
Phone Number
337-494-4656
Fax Number
337-494-4657
person
Provider Business Mailing Address Details
Address
2770 3Rd Ave Ste 240
City
Lake Charles
State
Louisiana
Zip
70601-8994
Phone Number
337-494-4656
Fax Number
337-494-4657
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD.023910.R (Louisiana)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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