Individual
JOHN CALEIST SOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9300 MANSFIELD RD STE 110, SHREVEPORT, LA 71118-3137
(318) 629-3763
(318) 629-3767
Mailing address
9300 MANSFIELD RD STE 110, SHREVEPORT, LA 71118-3137
(318) 629-3763
(318) 629-3767
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO000012
LA
207P00000X
Emergency Medicine Physician
E-7954
AR
207P00000X
Emergency Medicine Physician
Primary
OS8420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1239488
—
LA
Enumeration date
06/06/2006
Last updated
02/29/2024
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