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Contact Information

ALEXANDRIA PEDIATRIC GASTRO, INC
3311 PRESCOTT RD STE 210
ALEXANDRIA, LA71301-3983
 Phone: 318-256-5722
 Fax: 318-256-5774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALEXANDRIA PEDIATRIC GASTRO, INC

NPI Number 1073386520
LBN Legal business name ALEXANDRIA PEDIATRIC GASTRO, INC
Authorized official HUSAM SUKEREK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2023
Last updated 11/06/2023 - About 3 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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