| Christus Medical Group Ashley Ridge | |
|
725 North Ashley Ridge Suite 300 Shreveport LA 71106 | |
| (318) 629-9630 | |
| Not Available |
| Full Name | Christus Medical Group Ashley Ridge |
|---|---|
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 725 North Ashley Ridge, Shreveport, Louisiana |
| Authorized Official Name and Position | Donna J Mikulecky (CEO PRESIDENT) |
| Authorized Official Contact | 7132772208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Medical Group Ashley Ridge 1700 West Loop S Suite 400b Houston TX 77027-3005 Ph: (713) 277-2200 | Christus Medical Group Ashley Ridge 725 North Ashley Ridge Suite 300 Shreveport LA 71106 Ph: (318) 629-9630 |
| NPI Number | 1023212172 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023212172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 | |
Shreveport Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Pines Road, Suite 1250, Shreveport, LA 71129 Phone: 318-686-3770 Fax: 318-686-3838 |