SHREVEPORT INTERNAL MEDICINE, LLC

SHREVEPORT, LA
NPI1700838513
Entity TypeOrganization
Authorized ContactRICHARD E. HAYNIE
President
318-621-2929
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-05-17
Last Update Date2022-07-21
Business Address
SHREVEPORT INTERNAL MEDICINE, LLC
1449 E BERT KOUNS INDUSTRIAL LOOP SUITE 100
SHREVEPORT, LA 71105-5634
Phone number: 318-629-0220
Mailing Address
SHREVEPORT INTERNAL MEDICINE, LLC
1449 E BERT KOUNS INDUSTRIAL LOOP SUITE 100
SHREVEPORT, LA 71105-5634
Phone number: 318-629-0220
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