Phoenix Health Services, Llc

NPI 1013932904 - Clinic/Center - 261QM0801X

NPI Details
NPI 1013932904
Enumeration Date 07/13/2006
Last Updated 08/08/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SURESH K SURESH
Position OWNER
Phone (318) 221-0661
Fax (318) 221-0662
Practice Location
2021 LINE AVE
SHREVEPORT LA, 71104-2124, US
Phone (318) 221-0661
Fax (318) 221-0662
Business Location
8921 MANSFIELD RD
SHREVEPORT LA, 71118-2144, US
Phone (318) 688-5416
Fax (318) 688-5823
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Phoenix Health Services, Llc NPI is 1013932904, taxonomy code is 261QM0801X Phoenix Health Services, Llc physically located at 2021 Line Ave, Shreveport LA, 71104-2124. NPI Number 1033115704 has the healthcare provider type.

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1013932904 NPI number is provided on an as is basis without warranty of any kind. 1013932904 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Health Services, Llc are for informational purposes only.