Organization
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAY CRENSHAW (PRESIDENT)
(318) 212-1194
Entity
Organization
Contact information
Practice address
1560 IRVING PL, SUITE 501, SHREVEPORT, LA 71101-4604
(318) 212-1194
(318) 212-1196
Mailing address
1560 IRVING PL, SUITE 501, SHREVEPORT, LA 71101-4604
(318) 212-1194
(318) 212-1196
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
10/30/2014
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