institution
Regional Urology Asc Llc
Ambulatory Surgical Clinic/Center in Shreveport, Louisiana
NPI 1265437743

Regional Urology Asc Llc is an Ambulatory Surgical Clinic/Center based in Shreveport, LA and is specialized in Ambulatory Surgical. Regional Urology Asc Llc practices in Shreveport, LA. The NPI Number for Regional Urology Asc Llc is 1265437743 and holds a License No. 100 (Louisiana).

The current practice location address for Regional Urology Asc Llc is 255 Bert Kouns Loop, Shreveport, LA and can be reached out via phone at 318-683-0411 and via fax at 318-603-5461.

Location: 255 Bert Kouns Loop, Shreveport, LA, 71106-8150
institution
Provider Profile Details
NPI Number
1265437743
Provider Name
Regional Urology Asc Llc
Credential
Provider Entity Type
Organization
Address
255 Bert Kouns Loop, Shreveport, LA, 71106-8150
Phone Number
318-683-0411
Fax Number
318-603-5461
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1180793 05 LA
490004967 01 RAILROAD MEDICARE
20117 01 LA BLUE CROSS OF LA
institution
Provider Business Practice Location Address Details
Address
255 Bert Kouns Loop
City
State
Zip
71106-8150
Phone Number
318-683-0411
Fax Number
318-603-5461
person
Provider Business Mailing Address Details
Address
255 Bert Kouns Loop
City
State
Zip
71106-8150
Phone Number
318-683-0411
Fax Number
318-603-5461
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
100 (Louisiana)
Definition
Definition to come...
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