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Individual

DR. RICKY ALLEN PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8001 YOUREE DR STE 600, SHREVEPORT, LA 71115-2345
(318) 212-3890
(318) 212-3888
Mailing address
8001 YOUREE DR STE 600, SHREVEPORT, LA 71115-2345
(318) 212-3890
(318) 212-3888

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
L6568
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.023185
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158685101
TX
01
8F5691
BLUE CROSS/BLUE SHIELD
TX
01
P00019679
RAILROAD MEDICARE
Enumeration date
10/27/2006
Last updated
11/05/2025
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