Organization · Type 2 NPI

Brentwood Acquisition Shreveport, Inc

Medical Specialty Clinic/Center · Shreveport, LA

NPI number 1063644383 Active

Practice location

1002 Highland Ave, Suite 200
Shreveport, LA 71101-4143

Fax (318) 222-6227

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: 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).

21 other providers at this address

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About NPI 1063644383

Brentwood Acquisition Shreveport, Inc's National Provider Identifier is 1063644383, issued on Aug 20, 2009. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Shreveport, LA. The record was last updated on Aug 20, 2009.