# MUSCULOSKELETAL INSTITUTE OF LOUISIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain Care Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003920232
- **Authorized official:** JANET T BURCHAM (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (318) 629-5002

## Contact information

- **Practice address:** 1534 ELIZABETH AVE STE 201, SHREVEPORT, LA 71101-4531
- **Practice address phone:** (318) 629-5505
- **Practice address fax:** (318) 629-5506
- **Mailing address:** 1534 ELIZABETH AVE STE 301, SHREVEPORT, LA 71101-4531
- **Mailing address phone:** (318) 629-5001
- **Mailing address fax:** (318) 629-5020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 11/24/2020