| Pegasus Health Services Lousiana Llc | |
|
8660 Fern Ave Ste 120 Shreveport LA 71105-5649 | |
| (903) 487-2248 | |
| Not Available |
| Full Name | Pegasus Health Services Lousiana Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neuromuscular Medicine |
| Location | 8660 Fern Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Jefferey Adair (MEMBER) |
| Authorized Official Contact | 9034872248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pegasus Health Services Lousiana Llc Po Box 837 Howe TX 75459-0837 Ph: () - | Pegasus Health Services Lousiana Llc 8660 Fern Ave Ste 120 Shreveport LA 71105-5649 Ph: (903) 487-2248 |
| NPI Number | 1093264509 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093264509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Primary |
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