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NPI 1619175551 · Preferred Provider Organization · Shreveport,, LA
Provider details
- NPI number
- 1619175551
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Gale Dean, Executive Director(318) 671-8131
- License
- PCA9546 (LA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
9300 Manfeid Road
Suite 204
Shreveport,, LA 71118
Phone: (318) 671-8131
Fax: (318) 688-7823
Approximate (ZIP-level) locationGet directions
Mailing address
9300 Mansfield Road
Shreveport, LA 71118
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.