NPI 1417157728

New Horizon

Organisation Preferred Provider Organization Shreveport, LA

Practice location

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

Authorised official

Name: Patsy D Johnson
Title: Accounting Director
Phone: (318) 671-8131

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence PCA9546 (LA)

Other Preferred Provider Organization providers in Louisiana →

Registry record

NPI: 1417157728
Entity type: Organization
NPI issued: 24 Jul 2007
Record last updated: 24 Jul 2007

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.