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General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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REGIONAL UROLOGY ASC LLC

Surgery Yellow Pages

Shreveport, Louisiana

Provider NPI: 1265437743

Organization Information:
Organization Name:  REGIONAL UROLOGY ASC LLC


Practice Location:
255 BERT KOUNS LOOP  SHREVEPORT, LA 71106 US
Tel: 318-683-0411  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
LA100

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS OF LA20117LA01
RAILROAD MEDICARE49000496701
1180793LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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