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HEALTHPLEX FAMILY CLINIC LLC NPI 1053495374


NPI Information

NPI: 1053495374
Provider Name: HEALTHPLEX FAMILY CLINIC, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 19D0948948

Address:
9425 HEALTHPLEX DR
SUITE 101
SHREVEPORT, LA
ZIP 71106
Phone: (318) 683-5171
Get Directions

HEALTHPLEX FAMILY CLINIC, LLC is a family medicine in Shreveport, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEALTHPLEX FAMILY CLINIC, LLC NPI is 1053495374. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9425 HEALTHPLEX DR
SUITE 101
SHREVEPORT, LA
ZIP 71106-148
Phone: (318) 683-5171
Fax: (318) 683-5184

The provider's authorized official is Marie M Baker .
The authorized official title is Practice Manager and has the following contact phone number (318) 683-5171.

The CLIA number assigned to this NPI record is 19D0948948 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine022545LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11447099MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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