NPI 1023133808

Northwest La Incs, LLC

Organisation Point of Service Shreveport, LA

Practice location

Address: 4111 Metro Dr, Shreveport, LA 71109-6001
Phone: (318) 636-0390
Fax: (318) 635-3298

Authorised official

Name: Cindy S Parker
Title: Regional Coordinator
Phone: (318) 636-0390

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 11761 (LA)

Other Point of Service providers in Louisiana →

Registry record

NPI: 1023133808
Entity type: Organization
NPI issued: 20 Mar 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.