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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEALING GRACE INTERNAL MEDICINE & PEDIATRICS, LLC

Active Organization

HEALING GRACE INTERNAL MEDICINE & PEDIATRICS, LLC is a Internal Medicine organization located in SHREVEPORT, Louisiana. NPI 1780802504 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SHREVEPORT, LA

Registration Details

NPI Number
1780802504
Provider Type
Organization
NPI Issued
Apr 24, 2007 (19.341998319298 yrs)
Last Updated
Sep 11, 2025
Licenses
023335 (LA)
023335 (LA)
023335 (LA)

Practice Information

Address
6821 PINES RD
SUITE 200
SHREVEPORT, LA, 711292547
Browse LA providers · Browse ZIP 71129
Phone
3186719309
Fax
3186719311
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Pediatrics
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.