HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC is a point of service in Shreveport, LA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC NPI is 1619353802. The provider is registered as an organization entity type.
The provider's business location address is:
4571 N MARKET ST
SHREVEPORT, LA
ZIP 71107-917
Phone: (318) 934-0097
Fax: (318) 934-0097
The provider's authorized official is Richard L Jackson .
The authorized official title is Cheif Executive Office and has the following contact phone number (318) 205-4075.
The enumeration date for this NPI number is 8/10/2015 and was last updated on 8/10/2015.