# MOBILE FOOT SPECIALIST, INC

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

## Provider details

- **NPI number:** 1619164894
- **Authorized official:** DR. CASSELL HUDSON DPM (PODIATRIC PHYSICIAN)
- **Authorized official phone:** (318) 797-4169

## Contact information

- **Practice address:** 2855 LONG LAKE DR, SHREVEPORT, LA 71106
- **Practice address phone:** (318) 797-4169
- **Practice address fax:** (318) 797-4169
- **Mailing address:** P.O. BOX 52834, SHREVEPORT, LA 71135
- **Mailing address phone:** (318) 797-4169
- **Mailing address fax:** (318) 797-4169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | PD149R | LA | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 06/11/2010