Organization
URGENT CARE OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BRACEY M.D. (LLC MANAGER)
(318) 868-2273
Entity
Organization
Contact information
Practice address
6841 FERN AVE, SUITE 100, SHREVEPORT, LA 71105
(318) 868-2273
(318) 797-1516
Mailing address
6841 FERN AVE, SUITE 100, SHREVEPORT, LA 71105
(318) 868-2273
(318) 797-1516
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MD.025069
LA
Other
Enumeration date
04/01/2010
Last updated
10/10/2011
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