Red River Pediatric Clinic, Llc in Shreveport - Primary Care
Red River Pediatric Clinic, Llc - NPI 1023167731
Red River Pediatric Clinic, Llc is a Primary Care in Shreveport, Louisiana. Red River Pediatric Clinic, Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Red River Pediatric Clinic, Llc is 1023167731. The last update date is 2020-08-22.
Red River Pediatric Clinic, Llc's current location address is 1801 Fairfield Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182212900 and fax number 3182212999. The mailing address for Red River Pediatric Clinic, Llc is 1801 Fairfield Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Red River Pediatric Clinic, Llc |
|---|---|
| Address | 1801 Fairfield Ave, Shreveport, Louisiana |
| Phone Number | 3182212900 |
| Fax Number | 3182212999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mcconnell Natalie |
| Credentials | M.D. |
| Telephone Number | 3182212900 |
NPI Number Detail
| NPI Number | 1023167731 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1801 Fairfield Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014443 |
| Phone Number | 3182212900 |
| Fax Number | 3182212999 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1443646 | LA | -- |
Post Comment/ Review Below
What is the Red River Pediatric Clinic, Llc's unique identification number?
The Red River Pediatric Clinic, Llc has been assigned the NPI (National Provider Identifier) Number 1023167731 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Red River Pediatric Clinic, Llc's physical address?
The Red River Pediatric Clinic, Llc is physically located at 1801 Fairfield Ave, in the city of Shreveport, LA, with the postal code 711014443.
What is Red River Pediatric Clinic, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Red River Pediatric Clinic, Llc is Primary Care, and the corresponding taxonomy classification code for this specialized field is 261Qp2300X.
On what date did the Red River Pediatric Clinic, Llc receive its 1023167731 assignment from the Centers for Medicare & Medicaid Services?
The Red River Pediatric Clinic, Llc was assigned its 1023167731 by the Centers for Medicare & Medicaid Services on 2007-01-10.
When was the information pertaining to Red River Pediatric Clinic, Llc most recently updated or revised?
The details related to Red River Pediatric Clinic, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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