Wallace Harold Brown in Shreveport - Plastic Surgery
Wallace Harold Brown - NPI 1114988995
Wallace Harold Brown is a Plastic Surgery in Shreveport, Louisiana. Wallace Harold Brown practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Wallace Harold Brown is 1114988995. The last update date is 2007-07-08.
Wallace Harold Brown's current location address is 2210 Line Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182219671 and fax number 3184252343. The mailing address for Wallace Harold Brown is 2210 Line Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Harold Brown |
|---|---|
| Address | 2210 Line Ave, Shreveport, Louisiana |
| Phone Number | 3182219671 |
| Fax Number | 3184252343 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114988995 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2210 Line Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711042152 |
| Phone Number | 3182219671 |
| Fax Number | 3184252343 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 11630 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1385344 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wallace Harold Brown by the Centers for Medicare & Medicaid Services?
The Wallace Harold Brown has been assigned the NPI (National Provider Identifier) 1114988995 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Wallace Harold Brown is geographically located?
The Wallace Harold Brown is physically situated at the following location: 2210 Line Ave, Shreveport, LA, 711042152.
What is Wallace Harold Brown's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wallace Harold Brown is Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 208200000X.
On what date did Wallace Harold Brown receive its 1114988995 assignment from the Centers for Medicare & Medicaid Services?
The Wallace Harold Brown was assigned its 1114988995 on 2006-03-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Wallace Harold Brown's details last updated?
The information pertaining to the Wallace Harold Brown, including its address, specialty, and other details, was most recently updated on 2007-07-08.