Individual
MR. STEPHEN MOREHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5501
Mailing address
220 KANDILA TRL, SHREVEPORT, LA 71106-9700
(318) 510-0480
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
231860
LA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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