PEDIATRIC PROVIDERS OF LOUISIANA is a health service clinic center in Shreveport, LA. PEDIATRIC PROVIDERS OF LOUISIANA NPI is 1548494578. The provider is registered as an organization entity type.
The provider Is Doing Business As Mooretown Family Clinic.
The provider's business location address is:
4140 HOLLYWOOD AVE
SHREVEPORT, LA
ZIP 71109-818
Phone: (318) 621-9600
Fax: (318) 621-0169
The provider's authorized official is Jean Rousseau .
The authorized official title is President and has the following contact phone number (318) 621-9600.
The enumeration date for this NPI number is 5/5/2009 and was last updated on 8/21/2009.