Healthcare Provider Details

I. General information

NPI: 1043078199
Provider Name (Legal Business Name): ALLEGIANCE HOSPITAL OF MANY,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2024
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9031 TEXAS ST. HWY 6
ROBELINE LA
71469
US

IV. Provider business mailing address

9031 TEXAS ST. HWY 6
ROBELINE LA
71469
US

V. Phone/Fax

Practice location:
  • Phone: 318-431-0001
  • Fax:
Mailing address:
  • Phone: 318-431-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DALE LEN ANDERSON
Title or Position: CEO
Credential:
Phone: 318-256-5691