| Integra Health Services Professional Corporation | |
|
1110 Ringgold Ave Ste B Coushatta LA 71019-9004 | |
| (318) 798-4606 | |
| (318) 798-4601 |
| Full Name | Integra Health Services Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1110 Ringgold Ave Ste B, Coushatta, Louisiana |
| Authorized Official Name and Position | Gavin F Chico (MD/OWNER) |
| Authorized Official Contact | 3187806230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integra Health Services Professional Corporation Po Box 53032 Shreveport LA 71135-3032 Ph: (318) 798-4606 | Integra Health Services Professional Corporation 1110 Ringgold Ave Ste B Coushatta LA 71019-9004 Ph: (318) 798-4606 |
| NPI Number | 1861915415 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 1658646021 |
|---|---|
| Medicare Enrollment ID | O20171011001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861915415 | NPI | - | NPPES |
| Provider Name | Gavin F Chico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740261650 PECOS PAC ID: 9032014576 Enrollment ID: I20031206000027 |
Wyche T. Coleman, M.d., Limited Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1633 Marvel Street, Coushatta, LA 71019 Phone: 318-932-9980 Fax: 318-932-9906 | |
Joshua R Cason Limited Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 Ringgold Ave, Suite B, Coushatta, LA 71019 Phone: 318-932-2081 Fax: 318-932-2215 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E Carrol St, Coushatta, LA 71019 Phone: 833-784-2669 Fax: 844-784-2329 | |
Matrix Therapy Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5024 Cut Off Rd Ste B, Coushatta, LA 71019 Phone: 318-560-7300 Fax: 318-932-7946 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E Carrol St, Coushatta, LA 71019 Phone: 318-932-4221 | |
Esther M. Holloway, M.d., Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1633 Marvel Street, Coushatta, LA 71019 Phone: 318-932-8937 Fax: 318-932-8939 | |
D Gregory Bell Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1633 Marvel St, Coushatta, LA 71019 Phone: 318-932-2170 Fax: 318-932-2242 |