| Regional Medical Services | |
|
11275 Heritage Oaks Shreveport LA 71106-8386 | |
| (318) 518-6091 | |
| (318) 797-3650 |
| Full Name | Regional Medical Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 11275 Heritage Oaks, Shreveport, Louisiana |
| Authorized Official Name and Position | Robert C Hernandez (CEO) |
| Authorized Official Contact | 3185186091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Medical Services Po Box 19284 Shreveport LA 71149-0284 Ph: (318) 518-6091 | Regional Medical Services 11275 Heritage Oaks Shreveport LA 71106-8386 Ph: (318) 518-6091 |
| NPI Number | 1639483043 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 07/28/2010 |
| Medicare PECOS PAC ID | 2062697139 |
|---|---|
| Medicare Enrollment ID | O20110505000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639483043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 015049 (Louisiana) | Primary |
| Provider Name | Robert Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043247745 PECOS PAC ID: 2062302037 Enrollment ID: I20050308000207 |
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