Organization · NPI-2
A-1 Sparrow Health Systems
Family Medicine · Shreveport, LA
NPI number1518201649
StatusActive
Last updated in NPPESApr 15, 2024
Details
- NPI
- 1518201649
- Entity type
- Organization (NPI-2)
- Legal business name
- A-1 Sparrow Health Systems
- Organization subpart
- Yes
- Enumeration date
- Nov 15, 2012
- Certification date
- Apr 15, 2024
- Last updated
- Apr 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- A-1 Sparrow Health Systems (Former Legal Business Name)
Practice location
3000 Knight St Ste 207Shreveport, LA 71105-2566
Phone 318-779-2417 · Fax 318-742-8646
Mailing address
3000 Knight St Ste 207Shreveport, LA 71105-2566
Phone 318-779-2417 · Fax 318-742-8646
Authorized official
Sharon F Hester
Office Manager
3187792417
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