# MUSCULOSKELETAL INSTITUTE OF LOUISIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265616130
- **Authorized official:** MICHELLE STILLWELL (CFO)
- **Authorized official phone:** (318) 629-5451

## Contact information

- **Practice address:** 2005 LANDRY DR, BOSSIER CITY, LA 71111
- **Practice address phone:** (318) 752-7850
- **Practice address fax:** (318) 752-7855
- **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 | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 08/20/2026