Matthew Sand Mosura in Bossier City - Interventional Pain Medicine

Matthew Sand Mosura - NPI 1861613291

Matthew Sand Mosura is a Interventional Pain Medicine in Bossier City, Louisiana. Matthew Sand Mosura practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Matthew Sand Mosura is 1861613291. The last update date is 2020-07-31.

Matthew Sand Mosura's current location address is 2005 Landry Drive, Bossier City, Louisiana. You can contact this provider via phone number 3187527850 and fax number 3187527855. The mailing address for Matthew Sand Mosura is 2005 Landry Drive, Bossier City, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Sand Mosura
Address 2005 Landry Drive, Bossier City, Louisiana
Phone Number 3187527850
Fax Number 3187527855
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1861613291
Provider Enumeration Date 2007-05-02
Last Updated Date 2020-07-31

Provider Mailing Address Detail

Address 2005 Landry Drive
City Bossier City
State Louisiana (LA)
Post Code 71111
Phone Number 3187527850
Fax Number 3187527855

Provider's Primary Taxonomy Detail

Speciality Interventional Pain Medicine
Taxonomy 208Vp0014X
Licence No 15597R
Definition:
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01249632 LA RR

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FAQs about Matthew Sand Mosura

What is the Matthew Sand Mosura's unique identification number?

The Matthew Sand Mosura has been assigned the NPI (National Provider Identifier) Number 1861613291 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Matthew Sand Mosura's facilities are situated?

The facilities of Matthew Sand Mosura are physically located at the following address: 2005 Landry Drive, Bossier City, LA, 71111.

What is Matthew Sand Mosura's area of expertise and its corresponding taxonomy classification?

The Matthew Sand Mosura's field of specialization is Interventional Pain Medicine, and it falls under the taxonomy code 208Vp0014X, which categorizes healthcare providers based on their areas of practice.

On what date did the Matthew Sand Mosura receive the assignment of its 1861613291 from the Centers for Medicare & Medicaid Services?

The Matthew Sand Mosura was issued its 1861613291 by the Centers for Medicare & Medicaid Services on 2007-05-02.

When was the information regarding Matthew Sand Mosura most recently updated?

The details pertaining to the Matthew Sand Mosura, including its address, specialty, and other relevant information, were last refreshed on 2020-07-31.

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