Organization · Type 2 NPI
Gallego Health
Clinic/Center · Shreveport, LA
NPI number
1992219836
Active
Practice location
115 Hallette Dr
Shreveport, LA 71115-2959
Fax (318) 688-1559
Mailing address
PO Box 19284
Shreveport, LA 71149-0284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 208256 (LA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1992219836
Gallego Health's National Provider Identifier is 1992219836, issued on Nov 30, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Shreveport, LA. The record was last updated on Nov 30, 2017.