WHITE CLOVER WELLNESS & RESEARCH CENTER
NPI 1104281476
Internal Medicine - Cardiovascular Disease in Shreveport, LA

Active since December 30, 2015
8835 LINE AVE STE 400, SHREVEPORT, LA 71106(318) 861-4226 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Clover Wellness & Research Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE CLOVER WELLNESS & RESEARCH CENTER (NPI 1104281476) is a healthcare organization registered as a cardiovascular disease in Shreveport, Louisiana and active in the NPI registry since December 2015. The organization lists Tamara M Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104281476
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWHITE CLOVER, LLC
Location Address8835 LINE AVE STE 400Shreveport, LA 71106-6730
Mailing Address8835 Line Ave Ste 400Shreveport, LA 71106-6730 · (318) 861-4226
Organization SubpartNo
Authorized OfficialTamara M SmithCfo · (318) 455-8856
Enumeration DateDecember 30, 2015
NPI 1104281476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in LA · 022377
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
8835 LINE AVE STE 400, Shreveport, LA 71106

Other Names 1

Doing Business AsWhite Clover Wellness & Research Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White Clover, LLC's NPI number?

The NPI number for White Clover, LLC is 1104281476. It was assigned to this organization in the NPPES registry on December 30, 2015. The provider is doing business as White Clover Wellness & Research Center.

Where is White Clover, LLC located?

White Clover, LLC is located at 8835 Line Ave Ste 400, Shreveport, LA 71106. The listed phone number is (318) 861-4226.

What is White Clover, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for White Clover, LLC was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.