| Brentwood Acquisition-shreveport Inc. | |
|
1111 S 5th St Ste D&e Leesville LA 71446-4927 | |
| (337) 404-9998 | |
| Not Available |
| Full Name | Brentwood Acquisition-shreveport Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1111 S 5th St Ste D&e, Leesville, Louisiana |
| Authorized Official Name and Position | Steve Filton (VICE PRESIDENT) |
| Authorized Official Contact | 6107683482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Acquisition-shreveport Inc. 1111 S 5th St Ste D&e Leesville LA 71446-4927 Ph: (337) 404-9998 | Brentwood Acquisition-shreveport Inc. 1111 S 5th St Ste D&e Leesville LA 71446-4927 Ph: (337) 404-9998 |
| NPI Number | 1518776624 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 01/03/2025 |
| Certification Date | 01/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518776624 | NPI | - | NPPES |
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