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

Highland Clinic, a Prof Med Corp

Organization Orthopaedic Surgery Physician · NPI 1740897743

Highland Clinic, a Prof Med Corp is an Orthopaedic Surgery Physician in Bossier City, Louisiana. Registered with an NPI since 2020.

In the registry since
2020
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

5025 Shed Rd
Bossier City, LA 71111-5434
Phone: (318) 795-4741
Fax: (318) 795-4742
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1740897743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gustavson — Administrator · (318) 798-4465
NPI enumeratedSeptember 24, 2020
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5634

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