Organization
PEGASUS HEALTH SERVICES LOUSIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFEREY ADAIR MD (MEMBER)
(903) 487-2248
Entity
Organization
Contact information
Practice address
8660 FERN AVE, STE 120, SHREVEPORT, LA 71105-5649
(903) 487-2248
Mailing address
PO BOX 837, HOWE, TX 75459-0837
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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