Organization
THOMAS A REILLY MD APMC
Active
Other names
Shreveport Geriatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A REILLY MD (OWNER)
(318) 222-8187
Entity
Organization
Contact information
Practice address
850 MARGARET PL, SHREVEPORT, LA 71101-4521
(318) 222-8187
(318) 424-2637
Mailing address
PO BOX 1768, SHREVEPORT, LA 71116-1768
(318) 677-7450
(318) 425-5815
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948799
—
LA
Enumeration date
04/24/2007
Last updated
04/29/2008
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