Organization
NEUROTRIX, INC.
Active
Other names
Pretty Skin Again
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEYVAN SHAHRDAR (CFO)
(318) 869-8439
Entity
Organization
Contact information
Practice address
1657 E 70TH ST, SHREVEPORT, LA 71105-5115
(318) 869-8439
(318) 797-1423
Mailing address
PO BOX 53225, SHREVEPORT, LA 71135-3225
(318) 869-8439
(318) 797-1423
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/24/2008
Last updated
07/30/2008
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