Southside Foot Clinic Of Shreveport Inc A Professional Corporation in Shreveport - Ambulatory Surgical
Southside Foot Clinic Of Shreveport Inc A Professional Corporation - NPI 1245215706
Southside Foot Clinic Of Shreveport Inc A Professional Corporation is a Ambulatory Surgical in Shreveport, Louisiana. Southside Foot Clinic Of Shreveport Inc A Professional Corporation practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Southside Foot Clinic Of Shreveport Inc A Professional Corporation is 1245215706. The last update date is 2023-06-08.
Southside Foot Clinic Of Shreveport Inc A Professional Corporation's current location address is 9308 Mansfield Rd, Shreveport, Louisiana. You can contact this provider via phone number 3186876266 and fax number 3186831023. The mailing address for Southside Foot Clinic Of Shreveport Inc A Professional Corporation is 9308 Mansfield Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Foot Clinic Of Shreveport Inc A Professional Corporation |
|---|---|
| Address | 9308 Mansfield Rd, Shreveport, Louisiana |
| Phone Number | 3186876266 |
| Fax Number | 3186831023 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Havens Taylor Richard |
| Credentials | DPM |
| Telephone Number | 3186876266 |
NPI Number Detail
| NPI Number | 1245215706 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2023-06-08 |
Provider Mailing Address Detail
| Address | 9308 Mansfield Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711183134 |
| Phone Number | 3186876266 |
| Fax Number | 3186831023 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 33 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Southside Foot Clinic Of Shreveport Inc A Professional Corporation by the Centers for Medicare & Medicaid Services?
The Southside Foot Clinic Of Shreveport Inc A Professional Corporation has been assigned the NPI (National Provider Identifier) 1245215706. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Southside Foot Clinic Of Shreveport Inc A Professional Corporation is geographically located?
The Southside Foot Clinic Of Shreveport Inc A Professional Corporation is physically situated at the following location: 9308 Mansfield Rd, Shreveport, LA, 711183134.
What is Southside Foot Clinic Of Shreveport Inc A Professional Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southside Foot Clinic Of Shreveport Inc A Professional Corporation's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245215706 to Southside Foot Clinic Of Shreveport Inc A Professional Corporation?
The Southside Foot Clinic Of Shreveport Inc A Professional Corporation received its 1245215706 assignment from the Centers for Medicare & Medicaid Services on 2005-12-07.
As of what date was the information pertaining to Southside Foot Clinic Of Shreveport Inc A Professional Corporation, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southside Foot Clinic Of Shreveport Inc A Professional Corporation, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-08.
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