MEDICARE: DELTA DIAGNOSTICS AND HEALTH RESOURCES, INC

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
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1598724239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELTA DIAGNOSTICS AND HEALTH RESOURCES, INC

Provider Business Mailing Address
First Line	:	602 NATCHITOCHES ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-3132
Country	:	US
Telephone Number	:	318-388-8866
Fax Number	:	318-388-8891

Provider Business Practice Location Address
First Line	:	602 NATCHITOCHES ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-3132
Country	:	US
Telephone Number	:	318-388-8866
Fax Number	:	318-388-8891

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JANICE DOLESE SIGUR
Credential	:	RN
Telephone Number	:	318-388-8866

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	08/22/2020

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