Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breatheamerica Shreveport Inc

Organization Allergy & Immunology Physician · NPI 1700138781

Breatheamerica Shreveport Inc is an Allergy & Immunology Physician in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2012.

Licensed in
LA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

463 Ashley Ridge Blvd Ste 100
Shreveport, LA 71106-7231
Phone: (318) 221-3585
Fax: (318) 227-9094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 009735 (LA)

Record details

NPI number1700138781
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBreatheamerica Inc
Authorized official Timothy Miller — Vp Managed Care · (615) 665-7122
NPI enumeratedOctober 15, 2012
Last updated in NPPESAugust 23, 2013
Mailing address463 Ashley Ridge Blvd, Suite 100, Shreveport, LA 71106-7231

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