Destin R. Black in Shreveport - Gynecologic Oncology
Destin R. Black - NPI 1306062625
Destin R. Black is a Gynecologic Oncology in Shreveport, Louisiana. Destin R. Black practices all healthcare services and medical treatments related to Gynecologic Oncology. The NPI Number for Destin R. Black is 1306062625. The last update date is 2021-06-18.
Destin R. Black's current location address is 2600 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3182128727 and fax number 3182128771. The mailing address for Destin R. Black is 2600 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Destin R. Black |
|---|---|
| Address | 2600 Kings Hwy, Shreveport, Louisiana |
| Phone Number | 3182128727 |
| Fax Number | 3182128771 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306062625 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2021-06-18 |
Provider Mailing Address Detail
| Address | 2600 Kings Hwy |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711033950 |
| Phone Number | 3182128727 |
| Fax Number | 3182128771 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecologic Oncology |
|---|---|
| Taxonomy | 207Vx0201X |
| Licence No | 24725 |
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Definition: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and res |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1577936 | LA | -- | |
| 4K574F600 | LA | MEDICARE - PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Destin R. Black by the Centers for Medicare & Medicaid Services?
The Destin R. Black has been issued the NPI (National Provider Identifier) 1306062625. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Destin R. Black's facilities are geographically located?
The facilities of Destin R. Black are physically situated at the following location: 2600 Kings Hwy, Shreveport, LA, 711033950.
What is the Destin R. Black's area of specialization and corresponding taxonomy classification?
The Destin R. Black's specialty field is Gynecologic Oncology, and it falls under the taxonomy code 207Vx0201X, which categorizes healthcare providers based on their specialties.
On what date did Destin R. Black receive its 1306062625 assignment from the Centers for Medicare & Medicaid Services?
The Destin R. Black was assigned its 1306062625 on 2007-04-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Destin R. Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Destin R. Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-06-18.
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