# RED RIVER CARDIOVASCULAR SURGEONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104061175
- **Authorized official:** DAVID PHILLIP HAMM M.D. (PRESIDENT)
- **Authorized official phone:** (318) 227-9777

## Contact information

- **Practice address:** 2751 ALBERT L BICKNELL DR, SUITE 5C, SHREVEPORT, LA 71103-3920
- **Practice address phone:** (318) 227-9777
- **Practice address fax:** (318) 459-1188
- **Mailing address:** 2751 ALBERT L BICKNELL DR, SUITE 5C, SHREVEPORT, LA 71103-3920
- **Mailing address phone:** (318) 227-9777
- **Mailing address fax:** (318) 459-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2008
- **Last updated:** 12/04/2008