| Hiram Vazquez, MD | |
|
3217 Mabel St, Shreveport, LA 71103-4022 | |
| (318) 631-9121 | |
| (318) 631-9126 |
| Full Name | Hiram Vazquez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 46 Years |
| Location | 3217 Mabel St, Shreveport, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063491108 | NPI | - | NPPES |
| 1382426 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 07162R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osc Anesthesia Llc | 1355637810 | 7 |
| South Shreveport Anesthesia | 3577643444 | 2 |
| Entity Name | South Shreveport Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952355810 PECOS PAC ID: 3577643444 Enrollment ID: O20080104000140 |
| Entity Name | Osc Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063862340 PECOS PAC ID: 1355637810 Enrollment ID: O20160908002453 |
| Entity Name | Minden Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710456736 PECOS PAC ID: 1355687757 Enrollment ID: O20190107000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Hiram Vazquez, MD 3217 Mabel St, Shreveport, LA 71103-4022 Ph: (318) 631-9121 | Hiram Vazquez, MD 3217 Mabel St, Shreveport, LA 71103-4022 Ph: (318) 631-9121 |
Aya Mouhaffel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. James Williams, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-681-4440 | |
Maurice Hawley, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 972-664-6963 Fax: 770-237-4731 | |
Azem Chami, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Cleveland S Waterman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5581 | |
Dr. Akmal A Mikhail I, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 |