| Total Health Family Medicine | |
|
9435 Mansfield Rd Ste 5b Shreveport LA 71118-3859 | |
| (318) 686-3770 | |
| (318) 686-3838 |
| Full Name | Total Health Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 9435 Mansfield Rd Ste 5b, Shreveport, Louisiana |
| Authorized Official Name and Position | Letatia Vance-norris (OWNER) |
| Authorized Official Contact | 3186863770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Health Family Medicine 9435 Mansfield Rd Ste 5b Shreveport LA 71118-3859 Ph: (318) 686-3770 | Total Health Family Medicine 9435 Mansfield Rd Ste 5b Shreveport LA 71118-3859 Ph: (318) 686-3770 |
| NPI Number | 1962970582 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 10/22/2021 |
| Medicare PECOS PAC ID | 0941546659 |
|---|---|
| Medicare Enrollment ID | O20190116001956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962970582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (* (Not Available)) | Secondary |
| Provider Name | Corine Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841241007 PECOS PAC ID: 8325026818 Enrollment ID: I20040712000220 |
| Provider Name | Tiffany L O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750895702 PECOS PAC ID: 8820335748 Enrollment ID: I20190130000668 |
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