Simeon Wall in Shreveport - Plastic And Reconstructive Surgery
Simeon Wall - NPI 1275522682
Simeon Wall is a Plastic And Reconstructive Surgery in Shreveport, Louisiana. Simeon Wall practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Simeon Wall is 1275522682. The last update date is 2014-04-10.
Simeon 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 Simeon Wall is 8600 Fern Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Simeon Wall |
|---|---|
| Address | 8600 Fern Ave, Shreveport, Louisiana |
| Phone Number | 3187950801 |
| Fax Number | 3187959492 |
| Sole Proprietor | N |
| Credentials | MD, FACS |
NPI Number Detail
| NPI Number | 1275522682 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2014-04-10 |
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 | 14159R |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184292 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Simeon Wall by the Centers for Medicare & Medicaid Services (CMS)?
The Simeon Wall has been assigned the NPI (National Provider Identifier) 1275522682. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Simeon Wall's physical address?
The Simeon Wall is physically located at 8600 Fern Ave, in the city of Shreveport, LA, with the postal code 711055639.
What is the area of specialization for Simeon Wall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Simeon Wall is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0122X.
When did the Simeon Wall receive its 1275522682?
The Simeon Wall was issued its 1275522682 on 2005-10-18, which is the date when the organization was assigned this unique identifier.
When was the information regarding Simeon Wall most recently updated?
The details pertaining to the Simeon Wall, including its address, specialty, and other relevant information, were last refreshed on 2014-04-10.