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Organization
NEW HORIZONS
Active
Organization
NEW HORIZONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALE M DEAN (EXECUTIVE DIRECTOR)
(318) 671-8131
Entity
Organization
Contact information
Practice address
9300 MANFEID ROAD, SUITE 204, SHREVEPORT,, LA 71118
(318) 671-8131
(318) 688-7823
Mailing address
9300 MANSFIELD ROAD, SUITE 204, SHREVEPORT, LA 71118
(318) 671-8131
(318) 688-7823
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PCA9546
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1173380
—
LA
05
—
1534480
—
LA
Enumeration date
07/03/2007
Last updated
08/22/2020
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