Ahp Of Northwestern Louisiana LLC
Anesthesiology in Shreveport, LA. Organization (NPI-2).
NPI number1376771154
StatusActive
Last updated in NPPESJun 30, 2009
Details
- NPI
- 1376771154
- Entity type
- Organization (NPI-2)
- Legal business name
- Ahp Of Northwestern Louisiana LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2009
- Last updated
- Jun 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Other names
- Ahp Of Northwestern Louisiana (Doing Business As)
Practice location
385 Bert Kouns Industrial LoopBuilding 300
Shreveport, LA 71106-8158
Phone 318-212-0552
Mailing address
3079 Peachtree Industrial BlvdDuluth, GA 30097-2215
Phone 770-945-5330
Authorized official
Gregory Wachowiak
President
7709455330
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