Dr. Monique Renesha Spears, MD
Family Medicine in Shreveport, LA. Individual provider (NPI-1).
NPI number1164041869
StatusActive
Last updated in NPPESJul 17, 2023
Details
- NPI
- 1164041869
- Entity type
- Individual (NPI-1)
- Name
- Dr. Monique Renesha Spears
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2020
- Certification date
- Jul 17, 2023
- Last updated
- Jul 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 336928 | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1460 E Bert Kouns Industrial Loop Ste 700Shreveport, LA 71105-5644
Phone 318-681-5580
Mailing address
1460 E Bert Kouns Industrial Loop Ste 700Shreveport, LA 71105-5644
Phone 318-681-5580
Other practice locations
102 E Ravine Rd
Kingsport, TN 37660-3814
Kingsport, TN 37660-3814
Phone 423-245-9600 · Fax 423-245-9634
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