Organization
HARRIS MEMORIAL PEDIATRIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATRELL J MCCULLOCH M.D. (CEO)
(888) 958-7561
Entity
Organization
Contact information
Practice address
4571 N MARKET ST, SHREVEPORT, LA 71107-2917
(888) 958-7561
Mailing address
4571 N MARKET ST, SHREVEPORT, LA 71107-2917
(888) 958-7561
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2013
Last updated
11/29/2013
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