Individual
FREDRIC T SISKRON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2551 GREENWOOD RD, SUITE 140, SHREVEPORT, LA 71103-3981
(318) 212-8899
(318) 212-8806
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01071979A
IN
208800000X
Urology Physician
Primary
023873
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054232
—
LA
Enumeration date
04/19/2006
Last updated
10/09/2025
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