OrganizationActive
Primecare Direct LLC
NPI 1538057567 · Geriatric Medicine (Family Medicine) Physician · Shreveport, LA
Provider details
- NPI number
- 1538057567
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tri Pham, Owner(318) 617-6708
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
955 Pierremont Rd Ste 400
Shreveport, LA 71106-2096
Phone: (318) 562-3868
Fax: (318) 409-1565
Approximate (ZIP-level) locationGet directions
Mailing address
955 Pierremont Rd Ste 400
Shreveport, LA 71106-2096
Registry dates
- Enumerated
- 2025-06-26
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.