| Organization Name: | SHREVEPORT HEALTH AND WELLNESS |
| NPI Number: | 1447524715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT ZAHN (PRESIDENT/OWNER) |
| Mailing Address: | 1009 Southland Park Dr Shreveport |
| State: | LA US |
| Postal Code: | 711183218 |
| Phone Number: | 3186881221 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2012 |
| NPI Last Update Date: | 04/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
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Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |