OrganizationActive
Regional Urology Asc LLC
NPI 1265437743 · Ambulatory Surgical Clinic/Center · Shreveport, LA
Provider details
- NPI number
- 1265437743
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Palmer, Board Member(318) 683-0411
- License
- 100 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
255 Bert Kouns Loop
Shreveport, LA 71106-8150
Phone: (318) 683-0411
Fax: (318) 603-5461
Approximate (ZIP-level) locationGet directions
Mailing address
255 Bert Kouns Loop
Shreveport, LA 71106-8150
Registry dates
- Enumerated
- 2005-06-20
- Last updated
- 2022-01-07
- Certified
- 2022-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.