Provider First Line Business Practice Location Address:
HIGHLAND CLINIC, APMC
Provider Second Line Business Practice Location Address:
1400 E. BERT KOUNS, SUITE #103
Provider Business Practice Location Address City Name:
SHREVEPORT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-222-8402
Provider Business Practice Location Address Fax Number:
318-222-4556
Provider Enumeration Date:
06/01/2009