SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION is an ambulatory surgical clinic center in Shreveport, LA. SOUTHSIDE FOOT CLINIC OF SHREVEPORT INC A PROFESSIONAL CORPORATION NPI is 1245215706. The provider is registered as an organization entity type.
The provider Is Doing Business As The Foot Surgery Center Of Shreveport.
The provider's business location address is:
9308 MANSFIELD RD
SUITE 300
SHREVEPORT, LA
ZIP 71118-134
Phone: (318) 687-6266
Fax: (318) 683-1023
The provider's authorized official is Richard Taylor Havens .
The authorized official title is Administrator/physician and has the following contact phone number (318) 687-6266.
The enumeration date for this NPI number is 12/7/2005 and was last updated on 6/8/2023.