NPI 1912230228

Excellence Physician Billing

Organisation Supports Brokerage Agency Shreveport, LA

Practice location

Address: 9501 Chase Way, Shreveport, LA 71118-4619
Phone: (318) 773-0657
Fax: (318) 688-0326
Mailing address: PO Box 19284, Shreveport, LA 71149-0284

Authorised official

Name: Gladys T Bush
Title: Billing Agent
Phone: (318) 773-0657

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Louisiana →

Registry record

NPI: 1912230228
Entity type: Organization
NPI issued: 18 Sep 2009
Record last updated: 18 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.