is a Surgery Of The Hand in Shreveport, Louisiana. practices all healthcare services and medical treatments related to Surgery Of The Hand. The NPI Number for is 1033269303. The last update date is .
's current location address is 1512 W Kirby Pl, Shreveport, Louisiana. You can contact this provider via phone number 3186757636. The mailing address for is 1512 W Kirby Pl, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1512 W Kirby Pl, Shreveport, Louisiana |
Phone Number | 3186757636 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1033269303 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1512 W Kirby Pl |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 711033822 |
Phone Number | 3186757636 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Surgery Of The Hand |
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Taxonomy | 2086S0105X |
Licence No | 205991 |
Definition: A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2324209 | TX | -- | |
276655YH54 | LA | MEDICARE - PTAN |
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