Individual
TINA FIROUZBAKHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 HEARNE AVE STE 301, SHREVEPORT, LA 71103-3918
(318) 631-6400
(318) 631-0300
Mailing address
2727 HEARNE AVE STE 301, SHREVEPORT, LA 71103-3918
(318) 631-6400
(318) 631-0300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
306512
LA
Other
Enumeration date
04/17/2014
Last updated
12/09/2022
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