SURGICAL SUITES AT THE WALL CENTER, LLC is an ambulatory surgical clinic center in Shreveport, LA. SURGICAL SUITES AT THE WALL CENTER, LLC NPI is 1386893758. The provider is registered as an organization entity type.
The provider's business location address is:
8600 FERN AVENUE
STE. 200
SHREVEPORT, LA
ZIP 71105
Phone: (318) 795-0801
Fax: (318) 795-9492
The provider's authorized official is Simeon H. Wall .
The authorized official title is Medical Director and has the following contact phone number (318) 795-0801.
The CLIA number assigned to this NPI record is 19D1087464 - ambulance with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/10/2008 and was last updated on 4/21/2009.