Orthopaedic Surgery
HIGHLAND CLINIC, A PROF MED CORP
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 Plan acceptance stays unpublished until the practice reports it.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 1700259678 · enumerated 2015-11-02 · record updated 2026-06-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. MICHAEL GUSTAVSON, Administrator · (318) 798-4465
Addresses and phones
- Mailing address 1455 E BERT KOUN LOOP, SHREVEPORT, LA, 71105-5634 (318) 798-4500 Fax (318) 798-4555 Google Maps Apple Maps OpenStreetMap
- Practice location 1453 E BERT KOUN LOOP, #210, SHREVEPORT, LA, 71105-6800 (318) 798-4623 Fax (318) 798-4646 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · Primary
In this directory
Locations and evidence
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Practice location
SHREVEPORT, LA, 711056800
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.