SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION

SHREVEPORT, LA
NPI1245215706
Doing Business AsTHE FOOT SURGERY CENTER OF SHREVEPORT
Entity TypeOrganization
Authorized ContactRICHARD TAYLOR HAVENS
Administrator/Physician
318-687-6266
Organization Subpart ?Yes
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: LA  33)
Enumeration Date2005-12-07
Last Update Date2023-06-08
Business Address
SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION
9308 MANSFIELD RD SUITE 300
SHREVEPORT, LA 71118-3134
Phone number: 318-687-6266
Mailing Address
SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION
9308 MANSFIELD RD SUITE 300
SHREVEPORT, LA 71118-3134
Phone number: 318-687-6266
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