# IN BETWEEN PCP AND MED-SPA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NA, same
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326836958
- **Authorized official:** HUGHES, AREATHA HUGHES, AREATHA FNP-C (OWNER)
- **Authorized official phone:** (318) 294-8519

## Contact information

- **Practice address:** 1732 LAKEFRONT DR, SHREVEPORT, LA 71119-3925
- **Practice address phone:** (318) 294-8519
- **Practice address fax:** (318) 294-8519
- **Mailing address:** 1732 LAKEFRONT DR, SHREVEPORT, LA 71119-3925
- **Mailing address phone:** (318) 294-8519
- **Mailing address fax:** (318) 294-8519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2025
- **Last updated:** 04/25/2025