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Organization
URGENT CARE OF LOUISIANA, LLC
Active
Organization
URGENT CARE OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BRACEY M.D. (LLC MANAGER)
(318) 868-2273
Entity
Organization
Contact information
Practice address
6841 FERN AVE, SUITE 100, SHREVEPORT, LA 71105
(318) 868-2273
(318) 797-1516
Mailing address
6841 FERN AVE, SUITE 100, SHREVEPORT, LA 71105
(318) 868-2273
(318) 797-1516
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MD.025069
LA
Other
Enumeration date
04/01/2010
Last updated
10/10/2011
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