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Contact Information

MARISSA A DE LA PAZ, MD
1911 N 2ND ST
CABOT, AR72023-2209
 Phone: 501-843-5757
 Fax: 501-843-5700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARISSA A DE LA PAZ · (Female)

NPI Number 1871090456
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2018
Last updated 08/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AR License # E-17929
  • LA License # 313288
  • LA Medicaid 2467166
Hospital affiliation(s)
  • CHRISTUS ST PATRICK HOSPITAL - (Acute Care)
    524 DR MICHAEL DEBAKEY STREET
    LAKE CHARLES, LA 70601
  • LAKE CHARLES MEMORIAL HOSPITAL - (Acute Care)
    1701 OAK PARK BLVD
    LAKE CHARLES, LA 70601
  • WEST CALCASIEU CAMERON HOSPITAL - (Acute Care)
    701 EAST CYPRESS STREET
    SULPHUR, LA 70663
  • WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES - (Acute Care)
    4200 NELSON ROAD
    LAKE CHARLES, LA 70605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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