Whalio Doctors

NPI 1174808794

Holly D. Casey, MD. a Professional Medical Corp.

Organisation Plastic and Reconstructive Surgery Physician Shreveport, LA

Practice location

Address
8600 Fern Avenue, Shreveport, LA 71105
Phone
(318) 795-0801
Fax
(318) 795-9492

Authorised official

Name
Holly D. Casey
Title
President
Phone
(318) 795-0801

Registered specialties

Plastic and Reconstructive Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence L14095R (LA)

Registry record

NPI
1174808794
Entity type
Organization
NPI issued
14 Oct 2011
Record last updated
14 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.