Shreveport Surgery Center Ptrshp
NPI #1598804486 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1598804486
- Entity Type
- Organization
- Organization Name
- Shreveport Surgery Center Ptrshp
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Sep 12, 2013
Practice Location
- Address
- 745 OLIVE ST
- Address 2
- SUITE 100
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71104-2246
- Phone
- (318) 227-1163
Authorized Official
- Name
- MISS MARY BRIDGES, RN
- Title
- ADMINISTRATOR
- Phone
- (318) 227-1163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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