Gonzalo Alvarez Del Real, MD | |
1455 E Bert Kouns Industrial Loop # 108, Shreveport, LA 71105-5634 | |
(318) 798-4544 | |
(318) 798-4557 |
Full Name | Gonzalo Alvarez Del Real |
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Gender | Male |
Speciality | Allergy/immunology |
Experience | 28 Years |
Location | 1455 E Bert Kouns Industrial Loop # 108, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1801853106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207K00000X | Allergy & Immunology | 311897 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Highland Clinic, A Prof Med Corp | 3870493463 | 48 |
Entity Name | Highland Clinic, A Prof Med Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551 |
Mailing Address | Practice Location Address |
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Gonzalo Alvarez Del Real, MD Po Box 415000 Lbx 410604, Nashville, TN 37241-0604 Ph: (318) 798-4539 | Gonzalo Alvarez Del Real, MD 1455 E Bert Kouns Industrial Loop # 108, Shreveport, LA 71105-5634 Ph: (318) 798-4544 |
Ioannis A. Moissidis, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 850 Olive St, Suite B, Shreveport, LA 71104 Phone: 318-221-3584 Fax: 318-227-9094 | |
David A Kaufman, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 463 Ashley Ridge Blvd, Ste 100, Shreveport, LA 71106 Phone: 318-221-3584 Fax: 318-227-9094 | |
Dr. Lori R Johnson, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4573 Fax: 318-798-4651 | |
Dr. Steven C Whited, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4573 Fax: 318-798-4651 | |
Dr. Caroline Virginia Caperton, M.D., M.S.P.H. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Industrial Loop Ste 112, Shreveport, LA 71118 Phone: 318-212-4824 | |
Dr. Willard F Washburne, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4544 Fax: 318-798-4557 |