Deborah Susan Hollis in Shreveport - Medical
Deborah Susan Hollis - NPI 1871586784
Deborah Susan Hollis is a Medical in Shreveport, Louisiana. Deborah Susan Hollis practices all healthcare services and medical treatments related to Medical. The NPI Number for Deborah Susan Hollis is 1871586784. The last update date is 2013-03-12.
Deborah Susan Hollis's current location address is 1455 E Bert Kouns Loop, Shreveport, Louisiana. You can contact this provider via phone number 3187984623 and fax number 3187984591. The mailing address for Deborah Susan Hollis is 1455 E Bert Kouns Loop, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Susan Hollis |
|---|---|
| Address | 1455 E Bert Kouns Loop, Shreveport, Louisiana |
| Phone Number | 3187984623 |
| Fax Number | 3187984591 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1871586784 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2013-03-12 |
Provider Mailing Address Detail
| Address | 1455 E Bert Kouns Loop |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055634 |
| Phone Number | 3187984623 |
| Fax Number | 3187984591 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA.A10355.RX |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00090026 | LA | RAILROAD MEDICARE NUMBER | |
| 1625221 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Deborah Susan Hollis by the Centers for Medicare & Medicaid Services?
The Deborah Susan Hollis has been issued the NPI (National Provider Identifier) 1871586784, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Deborah Susan Hollis located?
The Deborah Susan Hollis is located at 1455 E Bert Kouns Loop, Shreveport, LA 711055634.
What is Deborah Susan Hollis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Deborah Susan Hollis is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
When did Deborah Susan Hollis receive its 1871586784 assignment?
The Deborah Susan Hollis was assigned its 1871586784 on 2005-08-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Deborah Susan Hollis most recently updated or revised?
The information pertaining to Deborah Susan Hollis, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-12.
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