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

Highland Clinic, a Prof Med Corp

Organization Clinic/Center · NPI 1053315846

Highland Clinic, a Prof Med Corp is a Clinic/Center in Shreveport, Louisiana. Works from 4 locations. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1455 E Bert Kouns Loop
Shreveport, LA 71105-5634
Phone: (318) 798-4500
Fax: (318) 798-4555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1114 Homer Rd, Minden, LA 71055-3028 — (318) 798-4616
  • 2806 Mark Dr, Monroe, LA 71201-5152 — (318) 460-5127
  • 1200 S Farmerville St, Ruston, LA 71270-5941 — (318) 224-2228

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1053315846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gustavson — Administrator · (318) 798-4465
NPI enumeratedJune 9, 2005
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address1455 E Bert Kouns Loop, Shreveport, LA 71105-5634

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