SHRINERS HOSPITALS FOR CHILDREN NPI 1851048821

NPI Information

SHRINERS HOSPITALS FOR CHILDREN is a rehabilitation clinic center in Shreveport, LA. SHRINERS HOSPITALS FOR CHILDREN NPI is 1851048821. The provider is registered as an organization entity type.

The provider's business location address is:

3100 SAMFORD AVE
SUITE PT
SHREVEPORT, LA
ZIP 71103-239
Phone: (318) 222-5704
Fax: (318) 424-7610

The provider's authorized official is Jerry G. Gantt .
The authorized official title is President and has the following contact phone number (813) 281-0300.

The CLIA number assigned to this NPI record is 19D0705402 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2022 and was last updated on 3/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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