The Trident Pacific Corporation

NPI #1225226194 in Shreveport, Louisiana

Provider Information

NPI Number: 1225226194
Entity Type: Organization
Organization Name: The Trident Pacific Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Oct 4, 2007
Last Updated: Oct 4, 2007

Practice Location

Address: 8001 YOUREE DR STE 550
City: Shreveport
State: Louisiana
ZIP Code: 71115-2325
Phone: (318) 212-3740

Authorized Official

Name: MRS. GLENDA MORENO
Title: OFFICE MANAGER
Phone: (318) 212-3740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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