NPI 1144638149

Metabolic Health Restoration

Organisation Specialist Shreveport, LA

Practice location

Address: 8575 Fern Ave Suite 110, Shreveport, LA 71105-5676
Phone: (318) 698-8889
Fax: (318) 698-8893

Authorised official

Name: Deborah K Adcock
Title: Medical Director
Phone: (318) 698-8889

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence C12615 (LA)

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Registry record

NPI: 1144638149
Entity type: Organization
NPI issued: 23 Jul 2014
Record last updated: 23 Jul 2014

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.