Spectra Family Clinic, Llc | |
9300 Mansfield Rd Ste 209 Shreveport LA 71118-3138 | |
(318) 779-1282 | |
Not Available |
Full Name | Spectra Family Clinic, Llc |
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Speciality | Family Medicine |
Location | 9300 Mansfield Rd Ste 209, Shreveport, Louisiana |
Authorized Official Name and Position | Angela Martin (OWNER) |
Authorized Official Contact | 3187791282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spectra Family Clinic, Llc 9300 Mansfield Rd Ste 209 Shreveport LA 71118-3138 Ph: (318) 779-1282 | Spectra Family Clinic, Llc 9300 Mansfield Rd Ste 209 Shreveport LA 71118-3138 Ph: (318) 779-1282 |
NPI Number | 1528609104 |
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Provider Enumeration Date | 10/04/2019 |
Last Update Date | 10/04/2019 |
Identifier | Type | State | Issuer |
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1528609104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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