Organization
SHREVEPORT DOCTORS HOSPITAL 2003, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIKA R NASH (VICE PRESIDENT OF FINANCE)
(318) 227-1211
Entity
Organization
Contact information
Practice address
1130 LOUISIANA AVE, SHREVEPORT, LA 71101-3908
(318) 227-1211
Mailing address
1130 LOUISIANA AVE, SHREVEPORT, LA 71101-3908
(318) 227-1211
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
527
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1749150
—
LA
Enumeration date
05/18/2006
Last updated
08/22/2020
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