Ear Nose & Throat Center A Medical Corporation

LBN: Ear Nose & Throat Center A Medical Corporation
Ear Nose & Throat Center A Medical Corporation is an health care organization with primary practice located at 2121 Line Ave , Shreveport LA 71104-2126. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Ear Nose & Throat Center A Medical Corporation can be contacted via phone (318) 226-9441, or through Watkins, W. Juan via phone (318) 226-9441.

Contact Information

Primary practice address
2121 Line Ave Shreveport LA 71104-2126
Phone: (318) 226-9441
Fax: (318) 425-3236
Website:
Map and Directions
Authorized official contact:
Name: Watkins, W. Juan Doctor of Medicine (MD)
Phone: (318) 226-9441

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1649350968
LBN Legal business name Ear Nose & Throat Center A Medical Corporation
DBA Doing business as
Authorized official Watkins, W. Juan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 12th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649350968 NPPES
Louisiana MEDICAID 1122262

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