Individual provider · Type 1 NPI

Holly Gaines Scurlock, PA-C

Medical Physician Assistant · Shreveport, LA

NPI number 1134469463 Active

Practice location

9300 Mansfield Rd
Shreveport, LA 71118-3155

Fax (318) 629-3767

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.200600 (LA)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1134469463

Holly Gaines Scurlock, PA-C's National Provider Identifier is 1134469463, issued on Feb 23, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shreveport, LA. The record was last updated on Feb 23, 2013.