OrganizationActive
Pediatric Providers of Louisiana
NPI 1548494578 · Health Service Clinic/Center · Shreveport, LA
Provider details
- NPI number
- 1548494578
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jean Rousseau, President(318) 621-9600
- License
- 06203R (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4140 Hollywood Ave
Shreveport, LA 71109-7818
Phone: (318) 621-9600
Fax: (318) 621-0169
Street-level locationGet directions
Mailing address
4140 Hollywood Ave
Shreveport, LA 71109-7818
Other names (DBA / former)
- Doing business as
- Mooretown Family Clinic
Registry dates
- Enumerated
- 2009-05-05
- Last updated
- 2009-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.