SHREVEPORT INTERNAL MEDICINE AND PEDIATRICS LLC

SHREVEPORT, LA
NPI1710041900
Entity TypeOrganization
Authorized ContactALLAN S MATRIANO LIM
Owner
318-588-0880
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-12-21
Last Update Date2024-09-04
Business Address
SHREVEPORT INTERNAL MEDICINE AND PEDIATRICS LLC
10401 E KINGS HWY
SHREVEPORT, LA 71115-3227
Phone number: 318-558-0880
Mailing Address
SHREVEPORT INTERNAL MEDICINE AND PEDIATRICS LLC
10401 E KINGS HWY
SHREVEPORT, LA 71115-3227
Phone number: 318-588-0880