Organization
MUSCULOSKELETAL INSTITUTE OF LOUISIANA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET T BURCHAM (CREDENTIALING SPECIALIST)
(318) 629-5002
Entity
Organization
Contact information
Practice address
ORTHOPEDIC SPECIALISTS OF LA, 1500 LINE AVE STE 100, SHREVEPORT, LA 71101
(318) 635-3052
(318) 635-3072
Mailing address
1534 ELIZABETH AVE STE 301, SHREVEPORT, LA 71101-4531
(318) 629-5001
(318) 629-5020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/08/2006
Last updated
11/24/2020
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