| Perfect Phyzique Wellness & Body Contouring, Llc | |
|
220 Carroll St Ste A Shreveport LA 71105-4247 | |
| (318) 220-1113 | |
| Not Available |
| Full Name | Perfect Phyzique Wellness & Body Contouring, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 220 Carroll St Ste A, Shreveport, Louisiana |
| Authorized Official Name and Position | Pashala Perry (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 2143296161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perfect Phyzique Wellness & Body Contouring, Llc 220 Carroll St Ste A Shreveport LA 71105-4247 Ph: (214) 329-6161 | Perfect Phyzique Wellness & Body Contouring, Llc 220 Carroll St Ste A Shreveport LA 71105-4247 Ph: (318) 220-1113 |
| NPI Number | 1205457645 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 05/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205457645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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