LOUISIANA CARDIOVASCULAR ASSOCIATES AMPC DBA LOUISIANA HEART ASSOCIATE NPI 1275672248

NPI Information

LOUISIANA CARDIOVASCULAR ASSOCIATES AMPC DBA LOUISIANA HEART ASSOCIATE is a specialist in Shreveport, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LOUISIANA CARDIOVASCULAR ASSOCIATES AMPC DBA LOUISIANA HEART ASSOCIATE NPI is 1275672248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 FAIRFIELD AVE STE 105
SHREVEPORT, LA
ZIP 71101-457
Phone: (318) 424-2192
Fax: (318) 424-2595

The provider's authorized official is Gladys T Bush .
The authorized official title is Clinic Manager and has the following contact phone number (318) 424-2192.

The CLIA number assigned to this NPI record is 19D2012642 - other - clincial research site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 1/15/2010.

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:

Other Identifiers

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