NPI 1104057694

Specialists Hospital Shreveport, LLC

Organisation General Acute Care Hospital Shreveport, LA

Practice location

Address: 1500 Line Avenue Suite 206, Shreveport, LA 71101-4639
Phone: (318) 213-3800
Fax: (318) 213-3801

Authorised official

Name: Kandi G. Moore
Title: Ceo
Phone: (318) 632-6083

Registered specialties (2)

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 626 (LA)

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Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1104057694
Entity type: Organization
NPI issued: 31 Jul 2009
Record last updated: 6 May 2011

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.