Organization
UNIVERSITY HEALTH SHREVEPORT LLC
Active
Organization
UNIVERSITY HEALTH SHREVEPORT LLC
Active
Other names
Ochsner LSU Health Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON MOORE III (CFO)
(318) 626-0000
Entity
Organization
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-7636
(318) 675-7531
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-7636
(318) 675-7531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
12/10/2018
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