| NPI | 1457733198 |
|---|---|
| Doing Business As | UNIVERSITY HEALTH SHREVEPORT |
| Entity Type | Organization |
| Authorized Contact | VERNON MOORE CFO 318-675-4864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2017-08-24 |