Organization
HIGHLAND CLINIC, A PROF MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE W SMITH (CEO)
(318) 798-4598
Entity
Organization
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP # 101, SHREVEPORT, LA 71105-5634
(318) 798-4493
(318) 798-4450
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
LA
Other
Enumeration date
12/20/2013
Last updated
05/30/2023
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