Organization
NEIL HALIM FAIRFIELD FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL HAILM M.D. (DOCTOR)
(318) 675-1313
Entity
Organization
Contact information
Practice address
1860 FAIRFIELD AVE, SHREVEPORT, LA 71101-4431
(318) 675-1313
Mailing address
1860 FAIRFIELD AVE, SHREVEPORT, LA 71101-4431
(318) 675-1313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 022628
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1681831
—
LA
01
—
1689623548
INDIVIDAL NPI#
LA
01
—
437379903F
BCBS NUMBER
LA
Enumeration date
07/11/2007
Last updated
01/03/2023
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