RUSSELL WAYNE ROBERTS M.D. NPI 1386662765

NPI Information

Russell Wayne Roberts, M.D. is a family medicine in Shreveport, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Russell Wayne Roberts, M.D. NPI is 1386662765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 KINGS HWY
DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-8032
Fax: (318) 675-8775

The NPI 1386662765 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/29/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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