Individual
STEVEN R BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
311980
LA
207RC0000X
Cardiovascular Disease Physician
311980
LA
207RC0000X
Cardiovascular Disease Physician
H6768
TX
207RI0011X
Interventional Cardiology Physician
Primary
311980
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105779601
—
TX
01
—
105779602
CIDC
TX
Enumeration date
08/20/2006
Last updated
12/19/2022
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