Organization
THOMAS J. WORGUL, M.D., APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J. WORGUL M.D. (PRESIDENT)
(318) 798-2030
Entity
Organization
Contact information
Practice address
7837 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 798-2030
(318) 798-7890
Mailing address
7837 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 798-2030
(318) 798-7890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05385R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312029
—
LA
Enumeration date
12/13/2010
Last updated
12/13/2010
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