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

Centerwell Senior Primary Care (La) PC

Organization Family Medicine Physician · NPI 1497525661

Centerwell Senior Primary Care (La) PC is a Family Medicine Physician in Shreveport, Louisiana. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2020 Bert Kouns Industrial Loop
Shreveport, LA 71118-3315
Phone: (407) 447-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1497525661
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care (La) PC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care- South Shreveport; Centerwell Senior Primary Care- South Shreveport
NPI enumeratedJanuary 8, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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