| Geriatric Medical Corporation | |
|
7813 Youree Dr Shreveport LA 71105-5505 | |
| (318) 212-3830 | |
| (318) 212-3835 |
| Full Name | Geriatric Medical Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 7813 Youree Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | David T Henry (PHYSICIAN) |
| Authorized Official Contact | 3182123830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Medical Corporation 1300 Grimmett Dr Shreveport LA 71107-6502 Ph: (318) 212-3830 | Geriatric Medical Corporation 7813 Youree Dr Shreveport LA 71105-5505 Ph: (318) 212-3830 |
| NPI Number | 1215185855 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215185855 | NPI | - | NPPES |
| 1096156 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L010682 (Louisiana) | Primary |
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