NPI 1073365094
Injurymd of Bossier, LLC
Practice location
- Address
- 5015 Shed Rd STE 500, Bossier City, LA 71111-5587
- Phone
- (318) 741-5858
- Fax
- (318) 741-4496
- Mailing address
- PO Box 678111, Dallas, TX 75267-8111
Authorised official
- Name
- Brady Crenshaw
- Title
- Chief Administrative Officer
- Phone
- (318) 751-9100
Registered specialties (3)
Clinic/Center
Primary
Physical Therapy Clinic/Center
Occupational Medicine Clinic/Center
Registry record
- NPI
- 1073365094
- Entity type
- Organization
- NPI issued
- 3 Apr 2024
- Record last updated
- 3 Apr 2024
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.