Organization
HEALTHPLEX FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE M BAKER (PRACTICE MANAGER)
(318) 683-5171
Entity
Organization
Contact information
Practice address
9425 HEALTHPLEX DR, SUITE 101, SHREVEPORT, LA 71106-8148
(318) 683-5171
(318) 683-5184
Mailing address
9425 HEALTHPLEX DR, SUITE 101, SHREVEPORT, LA 71106-8148
(318) 683-5171
(318) 683-5184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022545
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447099
—
LA
Enumeration date
10/24/2006
Last updated
08/22/2020
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