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Organization
PARK PLAZA SURGICAL SPECIALISTS LLC
Active
Organization
PARK PLAZA SURGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE M YOAKUM (PRACTICE ADMINISTRATOR)
(318) 524-7144
Entity
Organization
Contact information
Practice address
8731 PARK PLAZA DR STE B, SHREVEPORT, LA 71105-5682
(318) 797-5848
Mailing address
8731 PARK PLAZA DR, SHREVEPORT, LA 71105-5682
(318) 797-5848
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/19/2026
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