# VETERAN'S AFFAIRS MEDICAL CENTER

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

## Provider details

- **NPI number:** 1942239397
- **Authorized official:** DR. ANGELA B. PONTHIER AU.D. (AUDIOLOGIST)
- **Authorized official phone:** (318) 473-0010

## Contact information

- **Practice address:** 2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
- **Practice address phone:** (318) 473-0010
- **Mailing address:** 2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
- **Mailing address phone:** (318) 473-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 4134 | LA | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 08/22/2020