The Trident Pacific Corporation

NPI 1225226194 - Internal Medicine - 207R00000X

NPI Details
NPI 1225226194
Enumeration Date 10/04/2007
Last Updated 10/04/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLENDA GLENDA
Position OFFICE MANAGER
Phone (318) 212-3740
Fax
Practice Location
8001 YOUREE DR STE 550
SHREVEPORT LA, 71115-2325, US
Phone (318) 212-3740
Fax
Business Location
PO BOX 5455
SHREVEPORT LA, 71135-5455, US
Phone (318) 212-3740
Fax (318) 212-3758
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, The Trident Pacific Corporation NPI is 1225226194, taxonomy code is 207R00000X The Trident Pacific Corporation physically located at 8001 Youree Dr Ste 550, Shreveport LA, 71115-2325. NPI Number 1033115704 has the healthcare provider type.

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1225226194 NPI number is provided on an as is basis without warranty of any kind. 1225226194 is maintained by the National Plan & Provider Enumeration System. The contents of The Trident Pacific Corporation are for informational purposes only.