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

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Clinic/Center Primary 261Q00000XNone listed
Physical Therapy Clinic/Center 261QP2000XNone 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.