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THE PLASTIC SURGERY CENTER LLP NPI 1700929874


NPI Information

NPI: 1700929874
Provider Name: THE PLASTIC SURGERY CENTER LLP
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
385 BERT KOUNS IND. LOOP, BLDG 100
SHREVEPORT, LA
ZIP 71106
Phone: (318) 221-1629
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THE PLASTIC SURGERY CENTER LLP is a plastic and reconstructive surgery surgery in Shreveport, LA. The provider is a surgeon who specializes in plastic and reconstructive surgery. THE PLASTIC SURGERY CENTER LLP NPI is 1700929874. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

385 BERT KOUNS IND. LOOP, BLDG 100
SHREVEPORT, LA
ZIP 71106-124
Phone: (318) 221-1629

The provider's authorized official is Forrest Wall .
The authorized official title is Owner and has the following contact phone number (318) 221-1629.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 10/24/2007.


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
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15CT13MEDICARE PINLOUISIANA

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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