Orthopaedic Surgery, Sports Medicine
BONE & JOINT CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1710095690 · enumerated 2006-08-29 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. WAYNE SMITH MANAGER, ADMINISTRATOR · (318) 425-8701
Addresses and phones
- Mailing address 1202 LOUISIANA AVE, SHREVEPORT, LA, 71101-3910 (318) 425-8701 Google Maps Apple Maps OpenStreetMap
- Practice location 1202 LOUISIANA AVE, SHREVEPORT, LA, 71101-3910 (318) 425-8701 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery, Sports Medicine 207XX0005X · Primary · License 09700 LA
In this directory
LA Caddo Parish Shreveport Orthopaedic Surgery, Sports Medicine
Locations and evidence
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Practice location
SHREVEPORT, LA, 711013910
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.