NPI 1043057805 · live from the CMS NPI Registry
Abaka LLC
Internal Medicine in Bossier City, LA. National Provider Identifier 1043057805, active.
NPI record
| NPI | 1043057805 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 4438 Viking Dr, Bossier City, LA 71111 |
| Practice phone | 318-918-0015 |
| Enumerated | July 10, 2024 |
| Last updated | July 10, 2024 |
| Authorized official | Roland Bernardez, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.