MID-CITY FAMILY CLINIC, LLC

SHREVEPORT, LA
NPI1861671869
Entity TypeOrganization
Authorized ContactRUSSELL SHANE CARR
Owner/Doctor
318-221-3525
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2007-10-26
Last Update Date2022-07-21
Business Address
MID-CITY FAMILY CLINIC, LLC
838 MARGARET PL
SHREVEPORT, LA 71101-4509
Phone number: 318-221-3525
Mailing Address
MID-CITY FAMILY CLINIC, LLC
PO BOX 629
HAUGHTON, LA 71037-0629
Phone number: 318-221-3525
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