Optimal Wellness Llc | |
745 Olive Street Suite 109 Shreveport LA 71104 | |
(318) 716-1200 | |
(318) 562-3330 |
Full Name | Optimal Wellness Llc |
---|---|
Speciality | Family Medicine |
Location | 745 Olive Street, Shreveport, Louisiana |
Authorized Official Name and Position | Sreedevi Yerrapragada (OFFICER/MANAGER) |
Authorized Official Contact | 3187161200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optimal Wellness Llc 745 Olive Street Suite 109 Shreveport LA 71104 Ph: (318) 716-1200 | Optimal Wellness Llc 745 Olive Street Suite 109 Shreveport LA 71104 Ph: (318) 716-1200 |
NPI Number | 1063916195 |
---|---|
Provider Enumeration Date | 03/22/2018 |
Last Update Date | 03/22/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063916195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
News Archive
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