Injurymd, LLC

NPI #1104385095 in Shreveport, Louisiana

Provider Information

NPI Number
1104385095
Entity Type
Organization
Organization Name
Injurymd, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Mar 19, 2019
Last Updated
Jul 29, 2019

Practice Location

Address
1715 MARYCREST AVE STE 200
ZIP Code
71101-5074
Phone
(318) 751-9100

Authorized Official

Name
SAMUEL DAVID HUCKABEE
Title
COO
Phone
(318) 751-9100

Specialties & Taxonomy Codes

Specialty
Emergency Medicine
Clinic/Center - Physical TherapyPhysical Therapy
Clinic/Center

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