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NEUROTRIX INC. NPI 1851563464


NPI Information

NPI: 1851563464
Provider Name: NEUROTRIX, INC.

Doing Business As: PRETTY SKIN AGAIN

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1657 E 70TH ST
SHREVEPORT, LA
ZIP 71105
Phone: (318) 869-8439
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NEUROTRIX, INC. is a plastic and reconstructive surgery surgery in Shreveport, LA. The provider is a surgeon who specializes in plastic and reconstructive surgery. NEUROTRIX, INC. NPI is 1851563464. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pretty Skin Again.

The provider's business location address is:

1657 E 70TH ST
SHREVEPORT, LA
ZIP 71105-115
Phone: (318) 869-8439
Fax: (318) 797-1423

The provider's authorized official is Keyvan Shahrdar .
The authorized official title is Cfo and has the following contact phone number (318) 869-8439.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 7/30/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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