| Dr Omar Alejandro Pena Ruiz, DDS | |
|
2508 Bert Kouns Industrial Loop, Shreveport, LA 71118-3133 | |
| (318) 212-5210 | |
| Not Available |
| Full Name | Dr Omar Alejandro Pena Ruiz |
|---|---|
| Gender | Male |
| Speciality | Social Worker - School |
| Location | 2508 Bert Kouns Industrial Loop, Shreveport, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538960059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omar Alejandro Pena Ruiz, DDS 1901 Alex Dr, Mission, TX 78572-8363 Ph: (787) 525-0945 | Dr Omar Alejandro Pena Ruiz, DDS 2508 Bert Kouns Industrial Loop, Shreveport, LA 71118-3133 Ph: (318) 212-5210 |
Karl Reichter, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 319-990-4401 | |
Mrs. Chelsey Vincent, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 856 Texas Ave, Shreveport, LA 71101 Phone: 318-429-6938 | |
Kemeco Taylor-small, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 Fax: 318-990-5599 | |
Mr. Dock Voorhies, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-424-6040 Fax: 318-424-6121 | |
Danielle Bailey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4111 Pines Rd Unit 65, Shreveport, LA 71119 Phone: 318-613-0147 | |
Charles Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6654 Gilbert Pl, Shreveport, LA 71106 Phone: 318-865-4360 | |
Mr. Andrew Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6007 Financial Plz Ste 213, Shreveport, LA 71129 Phone: 318-458-5158 Fax: 318-220-8108 |