Organization
CAO CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY LYNN BROUDREAUX MD (PRESIDENT)
(318) 734-7797
Entity
Organization
Contact information
Practice address
2924 KNIGHT ST STE 408, SHREVEPORT, LA 71105-2413
(318) 734-7797
Mailing address
2924 KNIGHT ST STE 408, SHREVEPORT, LA 71105-2413
(318) 734-7797
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
201161
LA
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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