Individual
DR. DIANE ELIZABETH JAMISON-BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8001 YOUREE DR STE 4007, SHREVEPORT, LA 71115-2302
(318) 212-3821
(318) 212-3825
Mailing address
8001 YOUREE DR, STE 4007, SHREVEPORT, LA 71115-2302
(318) 212-3821
(318) 212-3825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L6076
TX
208M00000X
Hospitalist Physician
L6076
TX
208M00000X
Hospitalist Physician
Primary
MD.021974
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157381801
—
TX
01
—
P00005091
RR MEDICARE
TX
Enumeration date
03/02/2006
Last updated
06/17/2021
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