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Organization
WILSON B. BABER MD LLC
Active
Organization
WILSON B. BABER MD LLC
Active
Other names
Ark-La-Tex Retina Consultants, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON BLOOMFIELD BABER M.D. (OWNER)
(318) 221-3403
Entity
Organization
Contact information
Practice address
1455 E BERT KOUN LOOP STE 207, SHREVEPORT, LA 71105-5634
(318) 221-3403
(318) 221-6744
Mailing address
PO BOX 44309, SHREVEPORT, LA 71134-4309
(318) 221-3403
(318) 221-6744
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
021943
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1179851
—
LA
05
—
195783901
—
TX
Enumeration date
02/23/2007
Last updated
02/07/2022
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