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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