OrganizationActive
Abaka LLC
NPI 1043057805 · Internal Medicine Physician · Bossier City, LA
Provider details
- NPI number
- 1043057805
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roland Bernardez, Owner(469) 438-8002
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4438 Viking Dr
Bossier City, LA 71111-7509
Phone: (318) 918-0015
Fax: (318) 963-0015
Approximate (ZIP-level) locationGet directions
Mailing address
4438 Viking Dr
Bossier City, LA 71111-7509
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.