Shriners Hospitals for Children

NPI #1851048821 in Shreveport, Louisiana

Provider Information

NPI Number
1851048821
Entity Type
Organization
Organization Name
Shriners Hospitals for Children
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Mar 9, 2022
Last Updated
Mar 9, 2022

Practice Location

Address
3100 SAMFORD AVE
Address 2
SUITE PT
ZIP Code
71103-4239
Phone
(318) 222-5704

Authorized Official

Name
JERRY G. GANTT
Title
PRESIDENT
Phone
(813) 281-0300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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