Provider Demographics
NPI:1487046835
Name:LOUISIANA QUICK CARE LLC
Entity type:Organization
Organization Name:LOUISIANA QUICK CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CRENSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-466-5151
Mailing Address - Street 1:12805 HIGHWAY 28 E STE B
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-0734
Mailing Address - Country:US
Mailing Address - Phone:318-466-5151
Mailing Address - Fax:318-466-3535
Practice Address - Street 1:12805 HIGHWAY 28 E STE B
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-0734
Practice Address - Country:US
Practice Address - Phone:318-466-5151
Practice Address - Fax:318-466-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN089438207Q00000X
261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty