Harris Memorial Pediatric & Family Clinic

NPI #1619353802 in Shreveport, Louisiana

Provider Information

NPI Number
1619353802
Entity Type
Organization
Organization Name
Harris Memorial Pediatric & Family Clinic
Primary Specialty
Point of Service
Enumeration Date
Aug 10, 2015
Last Updated
Aug 10, 2015

Practice Location

Address
4571 N MARKET ST
ZIP Code
71107-2917
Phone
(318) 934-0097

Authorized Official

Name
MR. RICHARD L JACKSON
Title
CHEIF EXECUTIVE OFFICE
Phone
(318) 205-4075

Specialties & Taxonomy Codes

Specialty
Point of Service

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