Organization · Type 2 NPI
Shreveport Vamc
VA Clinic/Center · Shreveport, LA
NPI number
1043090509
Active
Practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Mailing address
PO Box 94538
Cleveland, OH 44101-4538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
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About NPI 1043090509
Shreveport Vamc's National Provider Identifier is 1043090509, issued on Oct 3, 2023. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Shreveport, LA. The record was last updated on Oct 3, 2023.