Forrest H Wright LLC
Surgery in Shreveport, LA. Organization (NPI-2).
NPI number1023398203
StatusActive
Last updated in NPPESAug 19, 2011
Details
- NPI
- 1023398203
- Entity type
- Organization (NPI-2)
- Legal business name
- Forrest H Wright LLC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2011
- Last updated
- Aug 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
2751 Albert L Bicknell DrSuite 5-A
Shreveport, LA 71103-3920
Phone 318-635-5019 · Fax 318-226-1759
Mailing address
2751 Albert L Bicknell DrSuite 5-A
Shreveport, LA 71103-3920
Phone 318-635-5019 · Fax 318-226-1759
Authorized official
Forrest H Wright
Owner
3186355019
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