Organization · Type 2 NPI

Shreveport Family Medicine Inc

Adult Medicine Physician · Shreveport, LA

NPI number 1003975079 Active

Practice location

7505 Pines Road, Suite 1250
Shreveport, LA 71129-3927

Fax (318) 686-3838

Mailing address

7505 Pines Rd, Suite 1250
Shreveport, LA 71129-3935

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

5 other providers at this address

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About NPI 1003975079

Shreveport Family Medicine Inc's National Provider Identifier is 1003975079, issued on Dec 6, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Shreveport, LA. The record was last updated on Jun 16, 2008.