Organization
CHRISTUS HEALTH NORTHERN LOUISIANA
Active
Other names
CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS STEEN TRAWICK (CEO)
(318) 681-5054
Entity
Organization
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
(318) 681-4500
(318) 681-4177
Mailing address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
(318) 681-4500
(318) 681-4177
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
193
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1945897
—
LA
01
—
H3938
BCBS
LA
Enumeration date
06/23/2006
Last updated
10/07/2021
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