# SUREACCESS, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821034679
- **Authorized official:** DR. RICHARD J. MICHAEL MD (MD)
- **Authorized official phone:** (318) 935-6177

## Contact information

- **Practice address:** 725 N ASHLEY RIDGE LOOP, \#100, SHREVEPORT, LA 71106-7232
- **Practice address phone:** (318) 935-6177
- **Practice address fax:** (888) 627-6744
- **Mailing address:** 725 N ASHLEY RIDGE LOOP, \#100, SHREVEPORT, LA 71106-7232
- **Mailing address phone:** (318) 935-6177
- **Mailing address fax:** (888) 627-6744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 13626R | LA | — |
| 207R00000X | Internal Medicine Physician | 14448R | LA | Yes |
| 208000000X | Pediatrics Physician | 13626R | LA | — |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 08/04/2015