| B&l Medical Services Llc | |
|
1800 Irving Pl Shreveport LA 71101-4608 | |
| (318) 425-4096 | |
| Not Available |
| Full Name | B&l Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Irving Pl, Shreveport, Louisiana |
| Authorized Official Name and Position | Brian Andrew Monaco (MEMBER MANAGER) |
| Authorized Official Contact | 6314955683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B&l Medical Services Llc Po Box 64568 Phoenix AZ 85082-4568 Ph: () - | B&l Medical Services Llc 1800 Irving Pl Shreveport LA 71101-4608 Ph: (318) 425-4096 |
| NPI Number | 1225579402 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/22/2017 |
| Medicare PECOS PAC ID | 8527345545 |
|---|---|
| Medicare Enrollment ID | O20170501000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225579402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian A Monaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578908851 PECOS PAC ID: 6002114238 Enrollment ID: I20160727000872 |
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