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ARK LA TEX FOOT ANKLE SPECIALISTS LLC
Surgery, Foot & Ankle

NPI Profile for ARK LA TEX FOOT ANKLE SPECIALISTS LLC in SHREVEPORT, LA.

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Contact Information

ARK LA TEX FOOT & ANKLE SPECIALISTS, LLC
385 BERT KOUNS
BLDG. 200
SHREVEPORT, LA  71106-8158
 Phone: 318-687-8447
 Fax: 318-687-9950
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ARK LA TEX FOOT ANKLE SPECIALISTS LLC · (Female)

NPI # 1235168311
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2006
Last updated 02/27/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # PD067R / PD207R
  • LA Medicaid 1706736
  • LA Other DE9683 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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