TEDDY CARLO ALONSO AREVALO RODRIGUEZ MD
Individual Provider (NPI-1)
Active
Internal Medicine, Pulmonary Disease
Provider Information
- NPI Number
1295390169- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1541 KINGS HWY, SHREVEPORT, LA, 711034228
- Phone
- (318) 626-0000
Specialties & Taxonomies
Internal Medicine
License: LA #347645
Internal Medicine, Critical Care Medicine
License: LA #347645
Internal Medicine, Pulmonary Disease
Primary License: LA #347645
All Addresses
MAILING
1541 KINGS HWY ATTN: PAYOR CREDENTIALING
SHREVEPORT, LA, 711034228