Ameriwest Health Services, INC
Psychiatry & Neurology, Psychiatry in Shreveport, LA. Organization (NPI-2).
NPI number1992013064
StatusActive
Last updated in NPPESSep 22, 2010
Details
- NPI
- 1992013064
- Entity type
- Organization (NPI-2)
- Legal business name
- Ameriwest Health Services, INC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2010
- Last updated
- Sep 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
727 Edgemont StShreveport, LA 71106-2223
Phone 318-453-9707
Mailing address
727 Edgemont StShreveport, LA 71106-2223
Phone 318-453-9707
Authorized official
Kenneth Gregory Stephens
Chief Executive Officer
3184539707
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