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ARKLATEX MEDICAL CONSULTANTS A MEDICAL CORPORATION NPI 1710466628


NPI Information

NPI: 1710466628
Provider Name: ARKLATEX MEDICAL CONSULTANTS A MEDICAL CORPORATION

Doing Business As: RIVER CITIES INTERVENTIONAL PAIN SPECIALISTS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 19D2158275

Address:
8731 PARK PLAZA DR
SHREVEPORT, LA
ZIP 71105
Phone: (318) 797-5848
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ARKLATEX MEDICAL CONSULTANTS A MEDICAL CORPORATION is a multi-specialty clinic center in Shreveport, LA. ARKLATEX MEDICAL CONSULTANTS A MEDICAL CORPORATION NPI is 1710466628. The provider is registered as an organization entity type.
The provider Is Doing Business As River Cities Interventional Pain Specialists.

The provider's business location address is:

8731 PARK PLAZA DR
SHREVEPORT, LA
ZIP 71105-682
Phone: (318) 797-5848
Fax: (318) 797-5844

The provider's authorized official is Nicole Yoakum .
The authorized official title is Practice Manager and has the following contact phone number (318) 524-7144.

The CLIA number assigned to this NPI record is 19D2158275 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/10/2018 and was last updated on 5/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12536397MEDICAIDLOUISIANA
210376054OTHERMULTIPLAN
32646045OTHERWELLCARE
43979188OTHERCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.