Injurymd, Llc
LBN: Injurymd, Llc
Injurymd, Llc is an health care organization with primary practice located at 1715 Marycrest Ave Ste 200 , Shreveport LA 71101-5074. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Injurymd, Llc can be contacted via phone (318) 751-9100, or through Huckabee, Samuel David via phone (318) 751-9100.
Contact Information
Primary practice address
1715 Marycrest Ave Ste 200
Shreveport LA 71101-5074
Phone: (318) 751-9100
Fax: (318) 751-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1104385095 |
|---|---|
| LBN Legal business name | Injurymd, Llc |
| DBA Doing business as | |
| Authorized official | Huckabee, Samuel David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2019 |
| Last updated | Jul 29th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104385095 | NPPES |
| Louisiana | Other | MD.017817 | STATE LICENSE |
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