Organization
OPTIMAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SREEDEVI YERRAPRAGADA M.D. (OFFICER/MANAGER)
(318) 716-1200
Entity
Organization
Contact information
Practice address
745 OLIVE STREET, SUITE 109, SHREVEPORT, LA 71104
(318) 716-1200
(318) 562-3330
Mailing address
745 OLIVE STREET, SUITE 109, SHREVEPORT, LA 71104
(318) 716-1200
(318) 562-3330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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