Individual
VIVIAN ELIZABETH MIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 MARGARET PL, SHREVEPORT, LA 71101-4346
(318) 675-5379
(318) 676-7523
Mailing address
915 MARGARET PL, SHREVEPORT, LA 71101-4346
(318) 675-5379
(318) 676-7523
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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