Organization
NEUROLOGY & HEADACHE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH KUMAR (OWNER)
(318) 865-1200
Entity
Organization
Contact information
Practice address
3555 YOUREE DR, SHREVEPORT, LA 71105-2119
(318) 865-1200
Mailing address
3555 YOUREE DR, SHREVEPORT, LA 71105-2119
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
MD204501
LA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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