| Gallego Health | |
|
115 Hallette Dr Shreveport LA 71115-2959 | |
| (318) 773-0657 | |
| (318) 688-1559 |
| Full Name | Gallego Health |
|---|---|
| Speciality | Clinic/center |
| Location | 115 Hallette Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | Hector Gallego (PRESIDENT) |
| Authorized Official Contact | 3187730657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallego Health Po Box 19284 Shreveport LA 71149-0284 Ph: (318) 773-0657 | Gallego Health 115 Hallette Dr Shreveport LA 71115-2959 Ph: (318) 773-0657 |
| NPI Number | 1992219836 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 11/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992219836 | NPI | - | NPPES |
| 208256 | Other | LA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 208256 (Louisiana) | Primary |
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