Daniels Family Medical Center LLC
NPI #1053594507 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1053594507
- Entity Type
- Organization
- Organization Name
- Daniels Family Medical Center LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 6, 2007
- Last Updated
- Dec 12, 2007
Practice Location
- Address
- 3736 N MARKET ST
- Address 2
- SUITE 100
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71107-3104
- Phone
- (318) 934-0082
Authorized Official
- Name
- LARRY CLYDE DANIELS, M.D.
- Title
- OWNER, SOLE MEMBER
- Phone
- (318) 934-0082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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