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Contact Information

PEGASUS HEALTH SERVICES LOUSIANA LLC
8660 FERN AVE
STE 120
SHREVEPORT, LA71105-5649
 Phone: 903-487-2248
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PEGASUS HEALTH SERVICES LOUSIANA LLC

NPI Number 1093264509
LBN Legal business name PEGASUS HEALTH SERVICES LOUSIANA LLC
Authorized official JEFFEREY ADAIR - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2016
Last updated 09/26/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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