Organization · Type 2 NPI

Shreveport Vamc

VA Clinic/Center · Shreveport, LA

NPI number 1639567993 Active

Practice location

3000 Knight St, Building 5
Shreveport, LA 71105-2502

Mailing address

PO Box 94538
Cleveland, OH 44101

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

VA Clinic/Center: Definition to come...

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About NPI 1639567993

Shreveport Vamc's National Provider Identifier is 1639567993, issued on Jan 8, 2015. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Shreveport, LA. The record was last updated on Sep 26, 2017.