NPI 1609297449
Highland Clinic, a Prof Med Corp
Practice location
- Address
- 1455 E Bert Kouns Industrial Loop # 101, Shreveport, LA 71105-5634
- Phone
- (318) 798-4493
- Fax
- (318) 798-4450
- Mailing address
- 1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5634
Authorised official
- Name
- Debbie W Smith
- Title
- Ceo
- Phone
- (318) 798-4598
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1609297449
- Entity type
- Organization
- NPI issued
- 20 Dec 2013
- Record last updated
- 30 May 2023
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.