Organization
MUSCULOSKELETAL INSTITUTE OF LOUISIANA, LLC
Active
Other names
Pain Care Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
JANET T BURCHAM (CREDENTIALING SPECIALIST)
(318) 629-5002
Entity
Organization
Contact information
Practice address
1534 ELIZABETH AVE STE 201, SHREVEPORT, LA 71101-4531
(318) 629-5505
(318) 629-5506
Mailing address
1534 ELIZABETH AVE STE 301, SHREVEPORT, LA 71101-4531
(318) 629-5001
(318) 629-5020
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
08/17/2006
Last updated
11/24/2020
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