Organization
PARK PLAZA ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA LYNN ADAMS RN (CHIEF OPERATING OFFICER)
(225) 281-2274
Entity
Organization
Contact information
Practice address
8731 PARK PLAZA DR STE B, SHREVEPORT, LA 71105-5682
(318) 703-2643
(318) 703-2645
Mailing address
8731 PARK PLAZA DR STE B, SHREVEPORT, LA 71105-5682
(318) 703-2643
(318) 703-2645
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538130018
NPI
—
Enumeration date
04/22/2020
Last updated
04/23/2020
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