Healthcare Provider Details

I. General information

NPI: 1326062076
Provider Name (Legal Business Name): NEONATAL CARE SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 PIERREMONT RD SUITE 200
SHREVEPORT LA
71106-2079
US

IV. Provider business mailing address

1 SAINT MARY PL
SHREVEPORT LA
71101-4343
US

V. Phone/Fax

Practice location:
  • Phone: 318-865-9796
  • Fax: 318-861-4724
Mailing address:
  • Phone: 318-865-9796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number StateLA

VIII. Authorized Official

Name: DR. JULIA A ELROD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 318-865-9796