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Contact Information

ANESTHESIA SERVICES OF SHREVEPORT-BOSSIER, LLC
1945 E 70TH ST
SUITE B
SHREVEPORT, LA71105-5347
 Phone: 318-797-1743
 Fax: 318-797-7599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ANESTHESIA SERVICES OF SHREVEPORT-BOSSIER, LLC

NPI Number 1639389026
LBN Legal business name ANESTHESIA SERVICES OF SHREVEPORT-BOSSIER, LLC
Authorized official WINSTON MOORE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2007
Last updated 11/17/2011 - About 15 years ago
Identifiers
LA License # 015590
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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