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TOTAL HEALTH FAMILY MEDICINE NPI 1962970582


NPI Information

NPI: 1962970582
Provider Name: TOTAL HEALTH FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 19D2159261

Address:
9435 MANSFIELD RD STE 5B
SHREVEPORT, LA
ZIP 71118
Phone: (318) 686-3770
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TOTAL HEALTH FAMILY MEDICINE 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. TOTAL HEALTH FAMILY MEDICINE NPI is 1962970582. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9435 MANSFIELD RD STE 5B
SHREVEPORT, LA
ZIP 71118-859
Phone: (318) 686-3770
Fax: (318) 686-3838

The provider's authorized official is Letatia Vance-norris .
The authorized official title is Owner and has the following contact phone number (318) 686-3770.

The CLIA number assigned to this NPI record is 19D2159261 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 10/22/2021.


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
12080A0000XPediatricsAdolescent MedicineNo
2207Q00000XFamily MedicineYes

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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