Mark Frederick Brown in Shreveport - Pediatric Surgery
Mark Frederick Brown - NPI 1689672032
Mark Frederick Brown is a Pediatric Surgery in Shreveport, Louisiana. Mark Frederick Brown practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Mark Frederick Brown is 1689672032. The last update date is 2021-06-21.
Mark Frederick Brown's current location address is 939 Delaware St, Shreveport, Louisiana. You can contact this provider via phone number 3186816174 and fax number 3186817695. The mailing address for Mark Frederick Brown is 939 Delaware St, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Frederick Brown |
|---|---|
| Address | 939 Delaware St, Shreveport, Louisiana |
| Phone Number | 3186816174 |
| Fax Number | 3186817695 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689672032 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2021-06-21 |
Provider Mailing Address Detail
| Address | 939 Delaware St |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71106 |
| Phone Number | 3186816174 |
| Fax Number | 3186817695 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 18087 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1971961 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Frederick Brown by the Centers for Medicare & Medicaid Services?
The Mark Frederick Brown has been issued the NPI (National Provider Identifier) 1689672032 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mark Frederick Brown is physically located?
The Mark Frederick Brown is physically situated at the following address: 939 Delaware St, Shreveport, LA, 71106.
What is Mark Frederick Brown's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Frederick Brown is Pediatric Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0120X.
On what date was the 1689672032 assigned to Mark Frederick Brown?
The Mark Frederick Brown was issued its 1689672032 on 2005-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mark Frederick Brown's details last updated?
The information pertaining to the Mark Frederick Brown, including its address, specialty, and other details, was most recently updated on 2021-06-21.