| NPI | 1245215706 |
|---|---|
| Doing Business As | THE FOOT SURGERY CENTER OF SHREVEPORT |
| Entity Type | Organization |
| Authorized Contact | RICHARD TAYLOR HAVENS Administrator/Physician 318-687-6266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 33) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2023-06-08 |