Organization
INJURYMD OF BOSSIER, LLC
Active
Organization
INJURYMD OF BOSSIER, LLC
Active
Other names
InjuryMD Bossier
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY CRENSHAW (CHIEF ADMINISTRATIVE OFFICER)
(318) 751-9100
Entity
Organization
Contact information
Practice address
5015 SHED RD STE 500, BOSSIER CITY, LA 71111-5587
(318) 741-5858
(318) 741-4496
Mailing address
PO BOX 678111, DALLAS, TX 75267-8111
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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