Organization
ARK-LA-TEX SPINE APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFEREY ADAIR MD (OWNER)
(903) 487-2248
Entity
Organization
Contact information
Practice address
8660 FERN AVE, SUITE 120, SHREVEPORT, LA 71105-5649
(903) 487-2248
(903) 487-2306
Mailing address
PO BOX 837, HOWE, TX 75459-0837
(903) 487-2248
(903) 487-2306
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD020437
LA
Other
Enumeration date
05/21/2013
Last updated
05/12/2016
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