| Sureaccess, Md, Llc | |
|
725 N Ashley Ridge Loop #100 Shreveport LA 71106-7232 | |
| (318) 935-6177 | |
| (888) 627-6744 |
| Full Name | Sureaccess, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 725 N Ashley Ridge Loop, Shreveport, Louisiana |
| Authorized Official Name and Position | Richard J. Michael (MD) |
| Authorized Official Contact | 3189356177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sureaccess, Md, Llc 725 N Ashley Ridge Loop #100 Shreveport LA 71106-7232 Ph: (318) 935-6177 | Sureaccess, Md, Llc 725 N Ashley Ridge Loop #100 Shreveport LA 71106-7232 Ph: (318) 935-6177 |
| NPI Number | 1821034679 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 08/04/2015 |
| Medicare PECOS PAC ID | 2567475130 |
|---|---|
| Medicare Enrollment ID | O20060726000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821034679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13626R (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | 14448R (Louisiana) | Primary |
| 208000000X | Pediatrics | 13626R (Louisiana) | Secondary |
| Provider Name | Richard J Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861496671 PECOS PAC ID: 2062424559 Enrollment ID: I20060627000373 |
| Provider Name | Paul T Guidry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700143237 PECOS PAC ID: 0345488482 Enrollment ID: I20160629001185 |
| Provider Name | Natalia Luraguiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639465065 PECOS PAC ID: 3577787076 Enrollment ID: I20200721004403 |
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