Whalio Doctors

NPI 1003033473

New Horizons

Organisation Preferred Provider Organization Shreveport, LA

Practice location

Address
9300 Mansfield Rd Suite 204, Shreveport, LA 71118
Phone
(318) 671-8131
Fax
(318) 688-7823

Authorised official

Name
Gale M Dean
Title
Ex Director
Phone
(318) 671-8131

Registered specialties

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X Licence PCA9546 (LA)

Registry record

NPI
1003033473
Entity type
Organization
NPI issued
19 Apr 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.