EAR NOSE & THROAT CENTER A MEDICAL CORPORATION

SHREVEPORT, LA
NPI1649350968
Entity TypeOrganization
Authorized ContactW. JUAN WATKINS
President
318-226-9441
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
Enumeration Date2006-10-17
Last Update Date2007-07-12
Business Address
EAR NOSE & THROAT CENTER A MEDICAL CORPORATION
2121 LINE AVE
SHREVEPORT, LA 71104-2126
Phone number: 318-226-9441
Mailing Address
EAR NOSE & THROAT CENTER A MEDICAL CORPORATION
2121 LINE AVE
SHREVEPORT, LA 71104-2126
Phone number: 318-226-9441