Organization
NORTHERN LOUISIANA CARDIAC SERVICES LLC
Active
Other names
ADVANCED HEART AND VASCULAR CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC PALMER (BOARD MEMBER)
(318) 681-5054
Entity
Organization
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP STE 220, SHREVEPORT, LA 71105-6810
(318) 629-3170
(318) 629-3171
Mailing address
PO BOX 51008, SHREVEPORT, LA 71135-1008
(318) 629-3170
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
11/02/2017
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