OrganizationActive
Highland Clinic, a Prof Med Corp
NPI 1609297449 · Non-Pharmacy Dispensing Site · Shreveport, LA
Provider details
- NPI number
- 1609297449
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Debbie Smith, Ceo(318) 798-4598
Specialties & taxonomies
Suppliers
Practice location
1455 E Bert Kouns Industrial Loop # 101
Shreveport, LA 71105-5634
Phone: (318) 798-4493
Fax: (318) 798-4450
Approximate (ZIP-level) locationGet directions
Mailing address
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634
Registry dates
- Enumerated
- 2013-12-20
- Last updated
- 2023-05-30
- Certified
- 2023-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.