Charles R. Byrd Md A Professional in Shreveport - Specialist

Charles R. Byrd Md A Professional - NPI 1124042585

Charles R. Byrd Md A Professional is a Specialist in Shreveport, Louisiana. Charles R. Byrd Md A Professional practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles R. Byrd Md A Professional is 1124042585. The last update date is 2011-08-26.

Charles R. Byrd Md A Professional's current location address is 2751 Albert L Bicknell Dr, Shreveport, Louisiana. You can contact this provider via phone number 3182214755 and fax number 3184243642. The mailing address for Charles R. Byrd Md A Professional is 2751 Albert L Bicknell Dr, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Charles R. Byrd Md A Professional
Address 2751 Albert L Bicknell Dr, Shreveport, Louisiana
Phone Number 3182214755
Fax Number 3184243642
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LPN
Authorized Official Name Hawthorne Kathy
Telephone Number 3182214755

NPI Number Detail

NPI Number 1124042585
Provider Enumeration Date 2006-07-27
Last Updated Date 2011-08-26

Provider Mailing Address Detail

Address 2751 Albert L Bicknell Dr
City Shreveport
State Louisiana (LA)
Post Code 711033920
Phone Number 3182214755
Fax Number 3184243642

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1449768 LA --

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FAQs about Charles R. Byrd Md A Professional

What is the Charles R. Byrd Md A Professional's 1124042585?

The Charles R. Byrd Md A Professional's NPI (National Provider Identifier) Number is 1124042585. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Charles R. Byrd Md A Professional?

The Charles R. Byrd Md A Professional is physically situated at 2751 Albert L Bicknell Dr, in the city of Shreveport, state of LA, with the postal code 711033920.

What is the area of specialization for Charles R. Byrd Md A Professional, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charles R. Byrd Md A Professional is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date was the 1124042585 assigned to Charles R. Byrd Md A Professional?

The Charles R. Byrd Md A Professional was issued its 1124042585 on 2006-07-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Charles R. Byrd Md A Professional most recently updated or revised?

The details related to Charles R. Byrd Md A Professional, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-26.

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