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
- City
- Shreveport
- State
- Louisiana
- 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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