OrganizationActive
Ear Nose & Throat Center a Medical Corporation
NPI 1649350968 · Otolaryngology Physician · Shreveport, LA
Provider details
- NPI number
- 1649350968
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- W. Juan Watkins, President(318) 226-9441
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2121 Line Ave
Shreveport, LA 71104-2126
Phone: (318) 226-9441
Fax: (318) 425-3236
Approximate (ZIP-level) locationGet directions
Mailing address
2121 Line Ave
Shreveport, LA 71104-2126
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2007-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.