Organization
MASRI GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL MASRI (OWNER)
(734) 233-4071
Entity
Organization
Contact information
Practice address
3801 CRESWELL AVE UNIT 19, SHREVEPORT, LA 71106-1257
(734) 233-4071
Mailing address
3801 CRESWELL AVE UNIT 19, SHREVEPORT, LA 71106-1257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
03/10/2023
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