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Contact Information

ATLAS INTEGRATIVE MEDICINE, LLC
1939 SOUTHERN LOOP STE O
SHREVEPORT, LA71106-8342
 Phone: 318-536-3155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ATLAS INTEGRATIVE MEDICINE, LLC

NPI Number 1619749702
LBN Legal business name ATLAS INTEGRATIVE MEDICINE, LLC
Authorized official KYLE MAYFIELD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2023
Last updated 10/23/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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