Fred Spencer Willis in Shreveport - Family Medicine
Fred Spencer Willis - NPI 1245441005
Fred Spencer Willis is a Family Medicine in Shreveport, Louisiana. Fred Spencer Willis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Fred Spencer Willis is 1245441005. The last update date is 2015-02-02.
Fred Spencer Willis's current location address is 11245 Heritage Oaks, Shreveport, Louisiana. You can contact this provider via phone number 3187978203. The mailing address for Fred Spencer Willis is 11245 Heritage Oaks, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Spencer Willis |
|---|---|
| Address | 11245 Heritage Oaks, Shreveport, Louisiana |
| Phone Number | 3187978203 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245441005 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2015-02-02 |
Provider Mailing Address Detail
| Address | 11245 Heritage Oaks |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711068386 |
| Phone Number | 3187978203 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 9828 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Fred Spencer Willis?
The Fred Spencer Willis has been issued the NPI (National Provider Identifier) 1245441005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Fred Spencer Willis's facilities are geographically located?
The facilities of Fred Spencer Willis are physically situated at the following location: 11245 Heritage Oaks, Shreveport, LA, 711068386.
What is Fred Spencer Willis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fred Spencer Willis's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did Fred Spencer Willis receive its 1245441005 assignment from the Centers for Medicare & Medicaid Services?
The Fred Spencer Willis was assigned its 1245441005 on 2007-05-24, 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 Fred Spencer Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Fred Spencer Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-02-02.
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