Organization
AMBULATORY SURGERY CENTER OF LOUISIANA
Active
Other names
Outpatient Surgery Center at the Villages of Burt Kouns
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANNA L CRUEY (ADMINISTRATOR)
(318) 212-0552
Entity
Organization
Contact information
Practice address
385 BERT KOUNS INDUSTRIAL LOOP, BLDG 300, SHREVEPORT, LA 71106-8124
(318) 212-0552
(318) 212-0557
Mailing address
385 BERT KOUNS INDUSTRIAL LOOP, BLDG 300, SHREVEPORT, LA 71106-8124
(318) 212-0552
(318) 212-0557
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
164
LA
Other
Enumeration date
03/12/2008
Last updated
05/14/2010
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