Individual
DAVID COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4677
(318) 798-4417
Mailing address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4677
(318) 798-4417
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
012189
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070004786
RAILROAD MEDICARE NUMBER
LA
01
—
1053315846
GROUP NPI NUMBER
LA
05
—
1191884
—
LA
Enumeration date
06/08/2005
Last updated
01/12/2009
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