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1518991504
SHREVEPORT EYE CLINIC A MEDICAL CORP
SHREVEPORT, LA
NPI
1518991504
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Entity Type
Organization
Authorized Contact
DONALD E TEXADA
President
318-861-4009
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2006-07-10
Last Update Date
2007-11-28
Business Address
SHREVEPORT EYE CLINIC A MEDICAL CORP
471 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106
Phone number: 318-861-4009
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Mailing Address
SHREVEPORT EYE CLINIC A MEDICAL CORP
471 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106
Phone number: 318-861-4009
Copy
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