TOMAS PANEQUE

SHREVEPORT, LA
NPI1598224925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-15
Last Update Date2019-03-15
Business Address
TOMAS PANEQUE MD
1501 KINGS HIGHWAY
SHREVEPORT, LA 71103
Phone number: 318-626-2750
Mailing Address
TOMAS PANEQUE MD
1501 KINGS HIGHWAY
SHREVEPORT, LA 71103
Phone number: 318-626-2750