Diabetes Assessment and Management Center of Shreveport, LLC
NPI #1073950028 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1073950028
- Entity Type
- Organization
- Organization Name
- Diabetes Assessment and Management Center of Shreveport, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 31, 2013
- Last Updated
- Oct 30, 2014
Practice Location
- Address
- 1560 IRVING PL
- Address 2
- SUITE 501
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-4604
- Phone
- (318) 212-1194
Authorized Official
- Name
- MR. CLAY CRENSHAW
- Title
- PRESIDENT
- Phone
- (318) 212-1194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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