INJURYMD, LLC
NPI 1104385095
Clinic/Center in Shreveport, LA

Q: What is Injurymd, LLC's NPI number?

The NPI number for Injurymd, LLC is 1104385095. It was assigned to this organization in the NPPES registry on March 19, 2019.

Q: What is Injurymd, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Injurymd, LLC was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 19, 2019

1715 MARYCREST AVE STE 200, SHREVEPORT, LA 71101(318) 751-9100(318) 751-9101 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2019, Jun 11, 2019, Mar 19, 2019 (3 updates tracked since 2019).

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About Injurymd, Llc NPPES

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

INJURYMD, LLC (NPI 1104385095) is a healthcare organization registered as a clinic/center in Shreveport, Louisiana and active in the NPI registry since March 2019. The organization lists Samuel David Huckabee, Coo, as its authorized official.

NPPES Registry Identity

NPI1104385095

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameINJURYMD, LLC

Location Address1715 MARYCREST AVE STE 200Shreveport, LA 71101-5074

Mailing Address135 Holli RdBenton, LA 71006-6700 · (318) 751-9100 · Fax (318) 751-9101

Phone(318) 751-9100

Fax(318) 751-9101

Organization SubpartNo

Authorized OfficialSamuel David HuckabeeCoo · (318) 751-9100

Enumeration DateMarch 19, 2019

Last NPPES UpdateJuly 29, 20193 updates tracked since enumeration

✔ NPI 1104385095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

1715 MARYCREST AVE STE 200, Shreveport, LA 71101

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Other Identifiers 1

OtherMD.017817LA · State License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES CURTIS LYONS PT

Physical Medicine & Rehabilitation

1715 MARYCREST AVE STE 200
SHREVEPORT, LA 71101

Caddo Parish (318) 751-9100

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 Injurymd, LLC's NPI number?

The NPI number for Injurymd, LLC is 1104385095. It was assigned to this organization in the NPPES registry on March 19, 2019.

Where is Injurymd, LLC located?

Injurymd, LLC is located at 1715 Marycrest Ave Ste 200, Shreveport, LA 71101. The listed phone number is (318) 751-9100.

What is Injurymd, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Injurymd, LLC was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.