Mary Alexis K Green in Shreveport - Physician Assistant
Mary Alexis K Green - NPI 1366436487
Mary Alexis K Green is a Physician Assistant in Shreveport, Louisiana. Mary Alexis K Green practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Alexis K Green is 1366436487. The last update date is 2020-12-11.
Mary Alexis K Green's current location address is 1455 E Bert Kouns Loop, Shreveport, Louisiana. You can contact this provider via phone number 3187984623 and fax number 3187984646. The mailing address for Mary Alexis K Green is 1455 E Bert Kouns Loop, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Alexis K Green |
|---|---|
| Address | 1455 E Bert Kouns Loop, Shreveport, Louisiana |
| Phone Number | 3187984623 |
| Fax Number | 3187984646 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366436487 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2020-12-11 |
Provider Mailing Address Detail
| Address | 1455 E Bert Kouns Loop |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055634 |
| Phone Number | 3187984623 |
| Fax Number | 3187984646 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA.200024 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1626244 | LA | -- | |
| P00245408 | LA | RAILROAD MEDICARE NUMBER | |
| 1053315846 | LA | GROUP NPI NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Alexis K Green by the Centers for Medicare & Medicaid Services?
The Mary Alexis K Green has been issued the NPI (National Provider Identifier) 1366436487, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary Alexis K Green is physically located?
The Mary Alexis K Green is situated at the following address: 1455 E Bert Kouns Loop, Shreveport, LA 711055634.
What is Mary Alexis K Green's area of expertise and its corresponding taxonomy classification?
The Mary Alexis K Green's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mary Alexis K Green receive the assignment of its 1366436487 from the Centers for Medicare & Medicaid Services?
The Mary Alexis K Green was issued its 1366436487 by the Centers for Medicare & Medicaid Services on 2005-09-02.
When was the information regarding Mary Alexis K Green, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Alexis K Green, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-12-11.