Mark Richard Mainous in Shreveport - Surgical Critical Care
Mark Richard Mainous - NPI 1427088079
Mark Richard Mainous is a Surgical Critical Care in Shreveport, Louisiana. Mark Richard Mainous practices all healthcare services and medical treatments related to Surgical Critical Care. The NPI Number for Mark Richard Mainous is 1427088079. The last update date is 2021-07-08.
Mark Richard Mainous's current location address is 8001 Youree Dr, Shreveport, Louisiana. You can contact this provider via phone number 3182122846 and fax number 3182122845. The mailing address for Mark Richard Mainous is 8001 Youree Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Richard Mainous |
|---|---|
| Address | 8001 Youree Dr, Shreveport, Louisiana |
| Phone Number | 3182122846 |
| Fax Number | 3182122845 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1427088079 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2021-07-08 |
Provider Mailing Address Detail
| Address | 8001 Youree Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711152302 |
| Phone Number | 3182122846 |
| Fax Number | 3182122845 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Critical Care |
|---|---|
| Taxonomy | 2086S0102X |
| Licence No | 07555R |
|
Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1968579 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Richard Mainous by the Centers for Medicare & Medicaid Services?
The Mark Richard Mainous has been assigned the NPI (National Provider Identifier) 1427088079. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Richard Mainous located?
The Mark Richard Mainous is located at 8001 Youree Dr, Shreveport, LA 711152302.
What is the Mark Richard Mainous's specialty and taxonomy code?
The Mark Richard Mainous's specialty is Surgical Critical Care, and the corresponding taxonomy code is 2086S0102X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427088079 to Mark Richard Mainous?
The Mark Richard Mainous received its 1427088079 assignment from the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the Mark Richard Mainous's information last updated?
The Mark Richard Mainous's information was last updated on 2021-07-08.