Individual
DR. PATRICK TIMOTHY GALLAGHER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3119
(318) 212-5500
(318) 212-5358
Mailing address
2049 PEPPER RIDGE DR, SHREVEPORT, LA 71115-9412
(318) 798-7077
(318) 798-7077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.016829
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016829
STATE LICENSE
LA
05
—
1344231
—
LA
Enumeration date
01/02/2007
Last updated
07/09/2007
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