Kings Healthcare Clinics LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KINGS HEALTHCARE CLINICS LLC

Practice address

3102 Linwood Ave
Shreveport, LA 71103-4231

Phone

(318) 749-2476

NPI assigned

May 27, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ahmed Shuja

Title

Owner

Phone

(469) 257-3500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1700525813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21175 TOMBALL PKWY STE 504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034231",
            "telephone_number": "318-749-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21175 Tomball Pkwy Ste 504",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770701655",
            "country_code": "US",
            "telephone_number": "469-257-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGS HEALTHCARE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "SHUJA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-257-3500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy King
• Tracy Turner King, CRNA
• Wendy King, FNP-C
• William Douglas King, M.D.
• Kingdom Eyecare
• Kings Transit
• Alesha N Kingsby
• Kingz Transportation
• Chloe Claudette Kinley, CRNA
• Kayla B Kinnebrew, PMHNP

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.