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RED RIVER CARDIOVASCULAR SURGEONS LLC NPI 1104061175


NPI Information

NPI: 1104061175
Provider Name: RED RIVER CARDIOVASCULAR SURGEONS LLC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
2751 ALBERT L BICKNELL DR
SUITE 5C
SHREVEPORT, LA
ZIP 71103
Phone: (318) 227-9777
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RED RIVER CARDIOVASCULAR SURGEONS LLC is a thoracic surgery cardiothoracic vascular surgery in Shreveport, LA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. RED RIVER CARDIOVASCULAR SURGEONS LLC NPI is 1104061175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2751 ALBERT L BICKNELL DR
SUITE 5C
SHREVEPORT, LA
ZIP 71103-920
Phone: (318) 227-9777
Fax: (318) 459-1188

The provider's authorized official is David Phillip Hamm .
The authorized official title is President and has the following contact phone number (318) 227-9777.

The enumeration date for this NPI number is 12/4/2008 and was last updated on 12/4/2008.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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: 11/14/2023

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