| Oasis Integrated Medical Services | |
|
820 Jordan St Suite306 Shreveport LA 71101-4518 | |
| (318) 686-8880 | |
| (318) 861-8626 |
| Full Name | Oasis Integrated Medical Services |
|---|---|
| Speciality | Social Worker |
| Location | 820 Jordan St, Shreveport, Louisiana |
| Authorized Official Name and Position | Jacqueline A Danzell (SOCIAL WORKER) |
| Authorized Official Contact | 3186788880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Integrated Medical Services 820 Jordan St Suite306 Shreveport LA 71101-4518 Ph: (318) 686-8880 | Oasis Integrated Medical Services 820 Jordan St Suite306 Shreveport LA 71101-4518 Ph: (318) 686-8880 |
| NPI Number | 1942341102 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942341102 | NPI | - | NPPES |
| 1163104 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 340 (Louisiana) | Primary |
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