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Ace Surgical Consultants, LLC

Physician Assistant in Shreveport, LA. Organization (NPI-2).

NPI number1962041541
StatusActive
Last updated in NPPESDec 31, 2019

Details

NPI
1962041541
Entity type
Organization (NPI-2)
Legal business name
Ace Surgical Consultants, LLC
Organization subpart
No
Enumeration date
Dec 31, 2019
Certification date
Dec 31, 2019
Last updated
Dec 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

11045 Gabriels Path
Shreveport, LA 71106-7791

Phone 713-589-8606

Mailing address

Po Box 8219
The Woodlands, TX 77387-8219

Authorized official

Rishi Wadhwa
Owner
7135898606

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