Ralph Jonathan Henderson in Shreveport - Urology
Ralph Jonathan Henderson - NPI 1164427621
Ralph Jonathan Henderson is a Urology in Shreveport, Louisiana. Ralph Jonathan Henderson practices all healthcare services and medical treatments related to Urology. The NPI Number for Ralph Jonathan Henderson is 1164427621. The last update date is 2010-04-29.
Ralph Jonathan Henderson'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 Ralph Jonathan Henderson is 255 Bert Kouns Loop, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ralph Jonathan Henderson |
|---|---|
| Address | 255 Bert Kouns Loop, Shreveport, Louisiana |
| Phone Number | 3186830411 |
| Fax Number | 3186035461 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164427621 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2010-04-29 |
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 | 21340 |
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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 |
|---|---|---|---|
| 1924075 | LA | -- | |
| 340019771 | LA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Ralph Jonathan Henderson's 1164427621?
The Ralph Jonathan Henderson's NPI (National Provider Identifier) Number is 1164427621. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ralph Jonathan Henderson?
The Ralph Jonathan Henderson is situated at 255 Bert Kouns Loop, in the city of Shreveport, state of LA, with the zip code 7110681500.
What is Ralph Jonathan Henderson's area of expertise and its corresponding taxonomy classification?
The Ralph Jonathan Henderson's field of specialization is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164427621 to Ralph Jonathan Henderson?
The Centers for Medicare & Medicaid Services originally issued the 1164427621 to Ralph Jonathan Henderson on 2005-06-20.
As of what date was the information regarding Ralph Jonathan Henderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ralph Jonathan Henderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-29.