A-1 Sparrow Health Systems | |
3000 Knight St Ste 207 Shreveport LA 71105-2566 | |
(318) 779-2417 | |
(318) 742-8646 |
Full Name | A-1 Sparrow Health Systems |
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Speciality | Family Medicine |
Location | 3000 Knight St Ste 207, Shreveport, Louisiana |
Authorized Official Name and Position | Sharon F Hester (OFFICE MANAGER) |
Authorized Official Contact | 3187792417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A-1 Sparrow Health Systems 3000 Knight St Ste 207 Shreveport LA 71105-2566 Ph: (318) 779-2417 | A-1 Sparrow Health Systems 3000 Knight St Ste 207 Shreveport LA 71105-2566 Ph: (318) 779-2417 |
NPI Number | 1518201649 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 04/15/2024 |
Medicare PECOS PAC ID | 8820233315 |
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Medicare Enrollment ID | O20130404000483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518201649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Daniel I Piotter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225490600 PECOS PAC ID: 6103112313 Enrollment ID: I20191112003226 |
Provider Name | Patric J Darvie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174013874 PECOS PAC ID: 9234481516 Enrollment ID: I20221217000345 |
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