Travis O'Neal Henry in Shreveport - General Practice
Travis O'Neal Henry - NPI 1861609547
Travis O'Neal Henry is a General Practice in Shreveport, Louisiana. Travis O'Neal Henry practices all healthcare services and medical treatments related to General Practice. The NPI Number for Travis O'Neal Henry is 1861609547. The last update date is 2007-07-08.
Travis O'Neal Henry's current location address is 2015 Fairfield Ave Ste A, Shreveport, Louisiana. You can contact this provider via phone number 3184248239 and fax number 3184248241. The mailing address for Travis O'Neal Henry is 2015 Fairfield Ave Ste A, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis O'Neal Henry |
|---|---|
| Address | 2015 Fairfield Ave Ste A, Shreveport, Louisiana |
| Phone Number | 3184248239 |
| Fax Number | 3184248241 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1861609547 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2015 Fairfield Ave Ste A |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711042066 |
| Phone Number | 3184248239 |
| Fax Number | 3184248241 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4488 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Travis O'Neal Henry?
The Travis O'Neal Henry has been issued the NPI (National Provider Identifier) 1861609547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Travis O'Neal Henry?
The Travis O'Neal Henry is situated at 2015 Fairfield Ave Ste A, in the city of Shreveport, state of LA, with the zip code 711042066.
What is Travis O'Neal Henry's area of expertise and its corresponding taxonomy classification?
The Travis O'Neal Henry's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1861609547 assigned to Travis O'Neal Henry?
The Travis O'Neal Henry was issued its 1861609547 on 2007-05-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Travis O'Neal Henry most recently updated or refreshed?
The details pertaining to the Travis O'Neal Henry, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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