Organization
HENOCK G ZABHER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENOCK G GEBREGZIABHER MD (MD)
(318) 820-8266
Entity
Organization
Contact information
Practice address
8007 AMY HEWES DR, SHREVEPORT, LA 71115-4605
(318) 820-8266
Mailing address
8007 AMY HEWES DR, SHREVEPORT, LA 71115-4605
(318) 820-8266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030954
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578223
—
LA
Enumeration date
08/16/2010
Last updated
08/16/2010
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