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OB GYN ASSOCIATES OF SHREVEPORT NPI 1104034867


NPI Information

NPI: 1104034867
Provider Name: OB GYN ASSOCIATES OF SHREVEPORT
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
7941 YOUREE DR
SHREVEPORT, LA
ZIP 71105
Phone: (318) 797-7941
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OB GYN ASSOCIATES OF SHREVEPORT is an obstetrics gynecology in Shreveport, LA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OB GYN ASSOCIATES OF SHREVEPORT NPI is 1104034867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7941 YOUREE DR
SHREVEPORT, LA
ZIP 71105-538
Phone: (318) 797-7941
Fax: (318) 797-7991

The provider's authorized official is John Walter Waterfallen .
The authorized official title is President and has the following contact phone number (318) 797-7941.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 2/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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