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NPI Code Detail

MEDICARE: SECURE PATIENT DELIVERY OF SHREVEPORT

MEDICARE: SECURE PATIENT DELIVERY OF SHREVEPORT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343800000XSecured Medical Transport (VAN)
2343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1255095923
Entity Type Code : Organization
Provider Name (Legal Business Name) : SECURE PATIENT DELIVERY OF SHREVEPORT
Provider Business Mailing Address
First Line : 4650 W ESPLANADE AVE STE 200
Second Line :
City : METAIRIE
State : LA
Zip : 70006-2765
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 TEXAS ST STE 1300
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-3783
Country : US
Telephone Number : 337-443-4830
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ROTEM M DAHAN
Credential :
Telephone Number : 504-258-2335
Provider Enumeration Date : 10/28/2021
Last Update Date : 10/28/2021

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Directions to “SECURE PATIENT DELIVERY OF SHREVEPORT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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