Nealan Dewayne Prather in Bossier City - Internal Medicine

Nealan Dewayne Prather - NPI 1053340349

Nealan Dewayne Prather is a Internal Medicine in Bossier City, Louisiana. Nealan Dewayne Prather practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Nealan Dewayne Prather is 1053340349. The last update date is 2008-01-03.

Nealan Dewayne Prather's current location address is 2400 Hospital Dr, Bossier City, Louisiana. You can contact this provider via phone number 3182127910 and fax number 3182127915. The mailing address for Nealan Dewayne Prather is 2400 Hospital Dr, Bossier City, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Nealan Dewayne Prather
Address 2400 Hospital Dr, Bossier City, Louisiana
Phone Number 3182127910
Fax Number 3182127915
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053340349
Provider Enumeration Date 2006-07-01
Last Updated Date 2008-01-03

Provider Mailing Address Detail

Address 2400 Hospital Dr
City Bossier City
State Louisiana (LA)
Post Code 711112385
Phone Number 3182127910
Fax Number 3182127915

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 13322
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11963666 LA --

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FAQs about Nealan Dewayne Prather

What is the unique identification code assigned to Nealan Dewayne Prather by the Centers for Medicare & Medicaid Services?

The Nealan Dewayne Prather has been issued the NPI (National Provider Identifier) 1053340349. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Nealan Dewayne Prather is physically located?

The Nealan Dewayne Prather is physically situated at the following address: 2400 Hospital Dr, Bossier City, LA, 711112385.

What is Nealan Dewayne Prather's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nealan Dewayne Prather is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1053340349 to Nealan Dewayne Prather?

The Nealan Dewayne Prather received its 1053340349 assignment from the Centers for Medicare & Medicaid Services on 2006-07-01.

When was the information pertaining to Nealan Dewayne Prather most recently updated or revised?

The details related to Nealan Dewayne Prather, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-03.

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