MAGNOLIA MEDICAL LLC is a prosthetic orthotic supplier in Shreveport, LA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MAGNOLIA MEDICAL LLC NPI is 1124482617. The provider is registered as an organization entity type.
The provider's business location address is:
1950 E 70TH ST
SUITE H
SHREVEPORT, LA
ZIP 71105-345
Phone: (318) 219-5219
Fax: (888) 542-4810
The provider's authorized official is Tina R Alexander .
The authorized official title is General Manager and has the following contact phone number (601) 334-2599.
The CLIA number assigned to this NPI record is 19D2208892 - other - substance abuse with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/11/2016 and was last updated on 4/11/2016.