Richard Taylor Havens in Shreveport - Podiatrist
Richard Taylor Havens - NPI 1285643908
Richard Taylor Havens is a Podiatrist in Shreveport, Louisiana. Richard Taylor Havens practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Richard Taylor Havens is 1285643908. The last update date is 2010-08-04.
Richard Taylor Havens's current location address is 9308 Mansfield Rd, Shreveport, Louisiana. You can contact this provider via phone number 3186876266 and fax number 3186831023. The mailing address for Richard Taylor Havens is 9308 Mansfield Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Taylor Havens |
|---|---|
| Address | 9308 Mansfield Rd, Shreveport, Louisiana |
| Phone Number | 3186876266 |
| Fax Number | 3186831023 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1285643908 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2010-08-04 |
Provider Mailing Address Detail
| Address | 9308 Mansfield Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711183160 |
| Phone Number | 3186876266 |
| Fax Number | 3186831023 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PDR073R |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1384691 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Taylor Havens?
The Richard Taylor Havens has been issued the NPI (National Provider Identifier) 1285643908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Richard Taylor Havens?
The Richard Taylor Havens is physically situated at 9308 Mansfield Rd, in the city of Shreveport, state of LA, with the postal code 711183160.
What is Richard Taylor Havens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard Taylor Havens is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285643908 to Richard Taylor Havens?
The Richard Taylor Havens received its 1285643908 assignment from the Centers for Medicare & Medicaid Services on 2006-08-05.
As of what date were the details pertaining to Richard Taylor Havens last refreshed?
The information related to the Richard Taylor Havens, including its address, specialty, and other relevant details, was last updated on 2010-08-04.