Organization · Type 2 NPI
Southern Pediatric Clinic
Health Service Clinic/Center · Shreveport, LA
NPI number
1104297720
Active
Practice location
202 N Thomas Dr, Suite 1
Shreveport, LA 71107-6539
Fax (318) 221-3277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | MD12866R (LA) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
Other health service clinic/center providers in Shreveport
- Royalty Healthcare Consulting LLCHealth Service Clinic/Center Shreveport, LA NPI 1285596270
- Bienvenue Health & WellnessHealth Service Clinic/Center Shreveport, LA NPI 1538989215
- Pediatric Providers of LouisianaHealth Service Clinic/Center Shreveport, LA NPI 1548494578
- Heavenly Touch Personal CareHealth Service Clinic/Center Shreveport, LA NPI 1619355955
- My at Home Md, LLCHealth Service Clinic/Center Shreveport, LA NPI 1881454320
About NPI 1104297720
Southern Pediatric Clinic's National Provider Identifier is 1104297720, issued on Oct 8, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Shreveport, LA. The record was last updated on Nov 3, 2015.