Organization
NEUROLOGY & HEADACHE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH KUMAR MD (PERSIDENT)
(318) 865-1200
Entity
Organization
Contact information
Practice address
3555 YOUREE DR, SHREVEPORT, LA 71105-2119
(318) 865-1200
(318) 865-1300
Mailing address
3555 YOUREE DRIVE, SHEREVEPORT, LA 71005
(318) 865-1200
(318) 865-1300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD201501
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4339905610
BCBS
LA
Enumeration date
12/24/2007
Last updated
12/24/2007
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