WHITE CLOVER LLC NPI 1104281476

NPI Information

WHITE CLOVER, LLC is a cardiovascular disease internal medicine in Shreveport, LA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WHITE CLOVER, LLC NPI is 1104281476. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As White Clover Wellness & Research Center.

The provider's business location address is:

8835 LINE AVE STE 400
SHREVEPORT, LA
ZIP 71106-730
Phone: (318) 861-4226

The provider's authorized official is Tamara M Smith .
The authorized official title is Cfo and has the following contact phone number (318) 455-8856.

The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.

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:

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