Organization · Type 2 NPI
Injurymd, LLC
Clinic/Center · Shreveport, LA
NPI number
1104385095
Active
Practice location
1715 Marycrest Ave Ste 200
Shreveport, LA 71101-5074
Fax (318) 751-9101
Mailing address
135 Holli Rd
Benton, LA 71006-6700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
| Physical Therapy Clinic/Center | 261QP2000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1104385095
Injurymd, LLC's National Provider Identifier is 1104385095, issued on Mar 19, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 29, 2019.