TEDDY CARLO ALONSO AREVALO RODRIGUEZ

SHREVEPORT, LA
NPI1295390169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: LA  347645)
Additional Taxonomies207R00000X Internal Medicine
(Licence: LA  347645)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: LA  347645)
Enumeration Date2019-05-07
Last Update Date2025-07-18
Business Address
TEDDY CARLO ALONSO AREVALO RODRIGUEZ MD
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
TEDDY CARLO ALONSO AREVALO RODRIGUEZ MD
1541 KINGS HWY ATTN: PAYOR CREDENTIALING
SHREVEPORT, LA 71103-4228
Phone number: