| Shreveport Geriatrics | |
|
850 Margaret Pl Shreveport LA 71101-4521 | |
| (318) 222-8187 | |
| (318) 424-2637 |
| Full Name | Shreveport Geriatrics |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 850 Margaret Pl, Shreveport, Louisiana |
| Authorized Official Name and Position | Thomas A Reilly (OWNER) |
| Authorized Official Contact | 3182228187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shreveport Geriatrics Po Box 1768 Shreveport LA 71116-1768 Ph: (318) 677-7450 | Shreveport Geriatrics 850 Margaret Pl Shreveport LA 71101-4521 Ph: (318) 222-8187 |
| NPI Number | 1558580357 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558580357 | NPI | - | NPPES |
| 1948799 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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