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Brentwood Acquisition Shreveport, Inc
Medical Specialty Clinic/Center in Shreveport, Louisiana
NPI 1063644383

Brentwood Acquisition Shreveport, Inc is a Medical Specialty Clinic/Center based in Shreveport, LA and is specialized in Medical Specialty. Brentwood Acquisition Shreveport, Inc practices in Shreveport, LA. The NPI Number for Brentwood Acquisition Shreveport, Inc is 1063644383 and holds a License No. (Louisiana).

The current practice location address for Brentwood Acquisition Shreveport, Inc is 1002 Highland Ave, Shreveport, LA and can be reached out via phone at 318-222-6226 and via fax at 318-222-6227.

Location: 1002 Highland Ave, Shreveport, LA, 71101-4143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063644383
Provider Name
Brentwood Acquisition Shreveport, Inc
Credential
Provider Entity Type
Organization
Address
1002 Highland Ave, Shreveport, LA, 71101-4143
Phone Number
318-222-6226
Fax Number
318-222-6227
Provider Enumeration Date
08/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1002 Highland Ave
City
Shreveport
State
Louisiana
Zip
71101-4143
Phone Number
318-222-6226
Fax Number
318-222-6227
person
Provider Business Mailing Address Details
Address
1002 Highland Ave
City
Shreveport
State
Louisiana
Zip
71101-4143
Phone Number
318-222-6226
Fax Number
318-222-6227
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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