Organization
NEUROLOGY & SLEEP CLINIC A PROFESSIONAL MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL A MOUFARREJ IV MD (PRESIDENT)
(318) 797-1585
Entity
Organization
Contact information
Practice address
2205 E 70TH ST, SHREVEPORT, LA 71105-5308
(318) 797-1585
(318) 797-6077
Mailing address
2205 E 70TH ST, SHREVEPORT, LA 71105-5308
(318) 797-1585
(318) 797-6077
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/19/2007
Last updated
06/08/2010
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