Holly Casey Wall in Shreveport - Plastic And Reconstructive Surgery
Holly Casey Wall - NPI 1245229624
Holly Casey Wall is a Plastic And Reconstructive Surgery in Shreveport, Louisiana. Holly Casey Wall practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Holly Casey Wall is 1245229624. The last update date is 2014-04-09.
Holly Casey Wall's current location address is 8600 Fern Ave, Shreveport, Louisiana. You can contact this provider via phone number 3187950801 and fax number 3187959492. The mailing address for Holly Casey Wall is 8600 Fern Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Casey Wall |
|---|---|
| Address | 8600 Fern Ave, Shreveport, Louisiana |
| Phone Number | 3187950801 |
| Fax Number | 3187959492 |
| Sole Proprietor | N |
| Credentials | MD, FACS |
NPI Number Detail
| NPI Number | 1245229624 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2014-04-09 |
Provider Mailing Address Detail
| Address | 8600 Fern Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055639 |
| Phone Number | 3187950801 |
| Fax Number | 3187959492 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | L14095R |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184306 | LA | -- |
Post Comment/ Review Below
What is the Holly Casey Wall's unique identification number?
The Holly Casey Wall has been assigned the NPI (National Provider Identifier) Number 1245229624 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Holly Casey Wall's facilities are situated?
The facilities of Holly Casey Wall are physically located at the following address: 8600 Fern Ave, Shreveport, LA, 711055639.
What is the Holly Casey Wall's specialty and taxonomy code?
The Holly Casey Wall's specialty is Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245229624 to Holly Casey Wall?
The Centers for Medicare & Medicaid Services assigned the 1245229624 to Holly Casey Wall on 2005-10-18.
When was the Holly Casey Wall's information last updated?
The Holly Casey Wall's information was last updated on 2014-04-09.