Organization
SUREACCESS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J. MICHAEL MD (MD)
(318) 935-6177
Entity
Organization
Contact information
Practice address
725 N ASHLEY RIDGE LOOP, #100, SHREVEPORT, LA 71106-7232
(318) 935-6177
(888) 627-6744
Mailing address
725 N ASHLEY RIDGE LOOP, #100, SHREVEPORT, LA 71106-7232
(318) 935-6177
(888) 627-6744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13626R
LA
207R00000X
Internal Medicine Physician
Primary
14448R
LA
208000000X
Pediatrics Physician
13626R
LA
Other
Enumeration date
06/21/2006
Last updated
08/04/2015
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