Healing Grace Internal Medicine & Pediatrics, Llc in Shreveport - Allergy & Immunology
Healing Grace Internal Medicine & Pediatrics, Llc - NPI 1780802504
Healing Grace Internal Medicine & Pediatrics, Llc is a Allergy & Immunology in Shreveport, Louisiana. Healing Grace Internal Medicine & Pediatrics, Llc practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Healing Grace Internal Medicine & Pediatrics, Llc is 1780802504. The last update date is 2020-08-22.
Healing Grace Internal Medicine & Pediatrics, Llc's current location address is 6821 Pines Rd, Shreveport, Louisiana. You can contact this provider via phone number 3186719309 and fax number 3186719311. The mailing address for Healing Grace Internal Medicine & Pediatrics, Llc is 6821 Pines Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Healing Grace Internal Medicine & Pediatrics, Llc |
|---|---|
| Address | 6821 Pines Rd, Shreveport, Louisiana |
| Phone Number | 3186719309 |
| Fax Number | 3186719311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clayton Tonya |
| Credentials | M.D. |
| Telephone Number | 3186719309 |
NPI Number Detail
| NPI Number | 1780802504 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6821 Pines Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711292547 |
| Phone Number | 3186719309 |
| Fax Number | 3186719311 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | 23335 |
|
Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1494046 | LA | -- |
Post Comment/ Review Below
What is the Healing Grace Internal Medicine & Pediatrics, Llc's 1780802504?
The Healing Grace Internal Medicine & Pediatrics, Llc's NPI (National Provider Identifier) Number is 1780802504. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Healing Grace Internal Medicine & Pediatrics, Llc?
The Healing Grace Internal Medicine & Pediatrics, Llc is physically situated at 6821 Pines Rd, in the city of Shreveport, state of LA, with the postal code 711292547.
What is Healing Grace Internal Medicine & Pediatrics, Llc's area of expertise and its corresponding taxonomy classification?
The Healing Grace Internal Medicine & Pediatrics, Llc's field of specialization is Allergy & Immunology, and it falls under the taxonomy code 207K00000X, which categorizes healthcare providers based on their areas of practice.
When did the Healing Grace Internal Medicine & Pediatrics, Llc receive its 1780802504?
The Healing Grace Internal Medicine & Pediatrics, Llc was issued its 1780802504 on 2007-04-24, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Healing Grace Internal Medicine & Pediatrics, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Healing Grace Internal Medicine & Pediatrics, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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