NPI 1750697314

Plastic Surgery of Shreveport, INC

Organisation Plastic Surgery Physician Shreveport, LA

Practice location

Address: 1666 E Bert Kouns Loop STE 145, Shreveport, LA 71105-5714
Phone: (318) 797-9199
Fax: (319) 797-9193
Mailing address: 1666 East Bert Kouns Ins Loop STE 145, Shreveport, LA 71105-5718

Authorised official

Name: Paul M Davis
Title: President
Phone: (318) 797-9199

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Louisiana →

Registry record

NPI: 1750697314
Entity type: Organization
NPI issued: 20 Aug 2010
Record last updated: 20 Aug 2010

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.