Ear Nose & Throat Center a Medical Corporation
Ear Nose & Throat Center a Medical Corporation is an Otolaryngology Physician in Shreveport, Louisiana. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2121 Line AveShreveport, LA 71104-2126
Phone: (318) 226-9441
Fax: (318) 425-3236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X |
|---|
Record details
| NPI number | 1649350968 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | W. Juan Watkins — President · (318) 226-9441 |
| NPI enumerated | October 17, 2006 |
| Last updated in NPPES | July 12, 2007 |
| Mailing address | 2121 Line Ave, Shreveport, LA 71104-2126 |
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