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Contact Information

FAMILY FOOT AND ANKLE CLINIC
3626 YOUREE DR
SHREVEPORT, LA71105-2122
 Phone: 318-869-2960
 Fax: 318-869-2958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FAMILY FOOT AND ANKLE CLINIC

NPI Number 1336471838
LBN Legal business name FAMILY FOOT AND ANKLE CLINIC
Authorized official EDOZIE OKEREKE - (PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2010
Last updated 03/03/2010 - About 16 years ago
Identifiers
LA License # PD196R
LA Medicaid 1999105
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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