Louisiana Neurologic Specialties Inc in Shreveport - Neuromusculoskeletal Medicine, Sports Medicine
Louisiana Neurologic Specialties Inc - NPI 1417098385
Louisiana Neurologic Specialties Inc is a Neuromusculoskeletal Medicine, Sports Medicine in Shreveport, Louisiana. Louisiana Neurologic Specialties Inc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Louisiana Neurologic Specialties Inc is 1417098385. The last update date is 2007-08-24.
Louisiana Neurologic Specialties Inc's current location address is 7929 Youree Dr, Shreveport, Louisiana. You can contact this provider via phone number 3184243268 and fax number 3184243280. The mailing address for Louisiana Neurologic Specialties Inc is 7929 Youree Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Louisiana Neurologic Specialties Inc |
|---|---|
| Address | 7929 Youree Dr, Shreveport, Louisiana |
| Phone Number | 3184243268 |
| Fax Number | 3184243280 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nguyen Bang V. Benjamin |
| Credentials | M.D. |
| Telephone Number | 3184243268 |
NPI Number Detail
| NPI Number | 1417098385 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-08-24 |
Provider Mailing Address Detail
| Address | 7929 Youree Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055538 |
| Phone Number | 3184243268 |
| Fax Number | 3184243280 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | 09699R |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1981087 | LA | -- |
Post Comment/ Review Below
What is the Louisiana Neurologic Specialties Inc's 1417098385?
The Louisiana Neurologic Specialties Inc's NPI (National Provider Identifier) Number is 1417098385. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Louisiana Neurologic Specialties Inc?
The Louisiana Neurologic Specialties Inc is situated at 7929 Youree Dr, in the city of Shreveport, state of LA, with the zip code 711055538.
What is the Louisiana Neurologic Specialties Inc's specialty and taxonomy code?
The Louisiana Neurologic Specialties Inc's specialty is Neuromusculoskeletal Medicine, Sports Medicine, and the corresponding taxonomy code is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417098385 to Louisiana Neurologic Specialties Inc?
The Centers for Medicare & Medicaid Services assigned the 1417098385 to Louisiana Neurologic Specialties Inc on 2007-02-12.
When was the information related to Louisiana Neurologic Specialties Inc most recently updated or refreshed?
The details pertaining to the Louisiana Neurologic Specialties Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-24.
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