Mark Walter Callaway in Shreveport - Urology
Mark Walter Callaway - NPI 1457356933
Mark Walter Callaway is a Urology in Shreveport, Louisiana. Mark Walter Callaway practices all healthcare services and medical treatments related to Urology. The NPI Number for Mark Walter Callaway is 1457356933. The last update date is 2010-03-24.
Mark Walter Callaway's current location address is 255 Bert Kouns Loop, Shreveport, Louisiana. You can contact this provider via phone number 3186830411 and fax number 3186035461. The mailing address for Mark Walter Callaway is 255 Bert Kouns Loop, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Walter Callaway |
|---|---|
| Address | 255 Bert Kouns Loop, Shreveport, Louisiana |
| Phone Number | 3186830411 |
| Fax Number | 3186035461 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457356933 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2010-03-24 |
Provider Mailing Address Detail
| Address | 255 Bert Kouns Loop |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 7110681500 |
| Phone Number | 3186830411 |
| Fax Number | 3186035461 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 13305 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1302929 | LA | -- | |
| 340012714 | LA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Walter Callaway?
The Mark Walter Callaway has been issued the NPI (National Provider Identifier) 1457356933 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mark Walter Callaway is physically located?
The Mark Walter Callaway is situated at the following address: 255 Bert Kouns Loop, Shreveport, LA 7110681500.
What is Mark Walter Callaway'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 Walter Callaway is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.
On what date was the 1457356933 assigned to Mark Walter Callaway?
The Mark Walter Callaway was issued its 1457356933 on 2005-06-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark Walter Callaway, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Walter Callaway, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-24.