IN BETWEEN PCP AND MED-SPA INC

SHREVEPORT, LA
NPI1326836958
Other NameSAME
Doing Business AsNA
Entity TypeOrganization
Authorized ContactHUGHES, AREATHA HUGHES, AREATHA
Owner
318-294-8519
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Additional Taxonomies261QH0100X Clinic/Center, Health Services
261QU0200X Clinic/Center, Urgent Care
Enumeration Date2025-04-25
Last Update Date2025-04-25
Business Address
IN BETWEEN PCP AND MED-SPA INC
1732 LAKEFRONT DR
SHREVEPORT, LA 71119-3925
Phone number: 318-294-8519
Mailing Address
IN BETWEEN PCP AND MED-SPA INC
1732 LAKEFRONT DR
SHREVEPORT, LA 71119-3925
Phone number: 318-294-8519