institution
Pediatric Providers Of Louisiana
Health Service Clinic/Center in Shreveport, Louisiana
NPI 1548494578

Pediatric Providers Of Louisiana is a Health Service Clinic/Center based in Shreveport, LA and is specialized in Health Service. Pediatric Providers Of Louisiana practices in Shreveport, LA. The NPI Number for Pediatric Providers Of Louisiana is 1548494578 and holds a License No. 06203R (Louisiana).

The current practice location address for Pediatric Providers Of Louisiana is 4140 Hollywood Ave, Shreveport, LA and can be reached out via phone at 318-621-9600 and via fax at 318-621-0169. You can also correspond with Pediatric Providers Of Louisiana through the mailing address at 4140 HOLLYWOOD AVE, SHREVEPORT, LA - 71109-7818 (mailing address contact number: 318-621-9600).

Location: 4140 Hollywood Ave, Shreveport, LA, 71109-7818
institution
Provider Profile Details
NPI Number
1548494578
Provider Name
Pediatric Providers Of Louisiana
Credential
Provider Entity Type
Organization
Address
4140 Hollywood Ave, Shreveport, LA, 71109-7818
Phone Number
318-621-9600
Fax Number
318-621-0169
Provider Enumeration Date
05/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4140 Hollywood Ave
City
State
Zip
71109-7818
Phone Number
318-621-9600
Fax Number
318-621-0169
person
Provider Business Mailing Address Details
Address
4140 Hollywood Ave
City
State
Zip
71109-7818
Phone Number
318-621-9600
Fax Number
318-621-0169
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
06203R (Louisiana)
Definition
Definition to come...
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