OrganizationActive
Brentwood Acquisition Shreveport, Inc
NPI 1063644383 · Medical Specialty Clinic/Center · Shreveport, LA
Provider details
- NPI number
- 1063644383
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jodi Burns, Office Manager(318) 222-6260
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1002 Highland Ave
Suite 200
Shreveport, LA 71101-4143
Phone: (318) 222-6226
Fax: (318) 222-6227
Approximate (ZIP-level) locationGet directions
Mailing address
1002 Highland Ave
Shreveport, LA 71101-4143
Other names (DBA / former)
- Doing business as
- Brentwood Outpatient Clinic
Registry dates
- Enumerated
- 2009-08-20
- Last updated
- 2009-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.