BREATHEAMERICA SHREVEPORT INC

SHREVEPORT, LA
NPI1700138781
Entity TypeOrganization
Authorized ContactTIMOTHY JAMES MILLER
VP Managed Care
615-665-7122
Organization Subpart ?Yes
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: LA  009735)
Enumeration Date2012-10-15
Last Update Date2013-08-23
Business Address
BREATHEAMERICA SHREVEPORT INC
463 ASHLEY RIDGE BLVD SUITE 100
SHREVEPORT, LA 71106-7231
Phone number: 318-221-3585
Mailing Address
BREATHEAMERICA SHREVEPORT INC
463 ASHLEY RIDGE BLVD SUITE 100
SHREVEPORT, LA 71106-7231
Phone number: 318-221-3585