HOLLY GAINES SCURLOCK PA-C
NPI 1134469463
Physician Assistant - Medical in Shreveport, LA

Active since February 23, 2013
9300 MANSFIELD RD, SHREVEPORT, LA 71118(318) 629-3763(318) 629-3767 Get Directions Write a Review

NPPES record last updated: February 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holly Gaines Scurlock Pa-c NPPES

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

HOLLY GAINES SCURLOCK PA-C (NPI 1134469463) is an individual medical provider in Shreveport, Louisiana, licensed in Louisiana (PA.200600) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1134469463
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHOLLY GAINES SCURLOCKCredential: PA-C
Location Address9300 MANSFIELD RDShreveport, LA 71118-3155
Mailing Address9300 Mansfield RdShreveport, LA 71118-3155 · (318) 629-3763 · Fax (318) 629-3767
Fax(318) 629-3767
Sole ProprietorNo
Enumeration DateFebruary 23, 2013
NPI 1134469463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in LA · PA.200600
9300 MANSFIELD RD, Shreveport, LA 71118

Other Providers at the Same Location NPPES 6

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

Preferred Provider Organization
9300 MANSFIELD RD, SUITE 204
SHREVEPORT, LA 71118
Durable Medical Equipment & Medical Supplies
9300 MANSFIELD RD, # 105
SHREVEPORT, LA 71118
Emergency Medicine
9300 MANSFIELD RD, SUITE 110
SHREVEPORT, LA 71118
Physician Assistant (Medical)
9300 MANSFIELD RD, SUITE 110
SHREVEPORT, LA 71118
Clinic/Center (Urgent Care)
9300 MANSFIELD RD, SUITE 110
SHREVEPORT, LA 71118
Dentist (General Practice)
9300 MANSFIELD RD, SUITE 100
SHREVEPORT, LA 71118

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 Holly Scurlock's NPI number?

The NPI number for Holly Scurlock is 1134469463. It was assigned to this individual provider in the NPPES registry on February 23, 2013.

Where is Holly Scurlock located?

Holly Scurlock practices at 9300 Mansfield Rd, Shreveport, LA 71118. The listed phone number is (318) 629-3763.

What is Holly Scurlock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Holly Scurlock was last updated on February 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.