Graduated: 2021
NPI: 1497497119
Practice Locations (2)
SHC MEDICAL PARTNERS OF LOUISIANA, LLC
336 LONEWA LN
MONROE, LA 712036521
5012679870
ICP LOUISIANA ACO BILLING LLC
333 TEXAS ST, SUITE 1300
SHREVEPORT, LA 711013783
8554986767
Source: CMS National Downloadable File, September 2026.