Arklatex Medcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARKLATEX MEDCARE LLC

Practice address

1009 Southland Park Dr
Shreveport, LA 71118-3218

Phone

(318) 629-0140

Fax

(318) 629-0141

NPI assigned

Jun 20, 2013

Last updated

Feb 19, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sreedevi Yerrapragada, M. D.

Title

President

Phone

(318) 629-0140

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Clyde Daniels, MD

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1700997160
  NPD (past)
• Kanisha L Hall, M.D.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1861669186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1386083657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SOUTHLAND PARK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183218",
            "telephone_number": "318-629-0140",
            "fax_number": "318-629-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SOUTHLAND PARK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183218",
            "telephone_number": "318-629-0140",
            "fax_number": "318-629-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKLATEX MEDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "YERRAPRAGADA",
        "authorized_official_first_name": "SREEDEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-629-0140",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.