Individual
MARK WALTER CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 BERT KOUNS, SHREVEPORT, LA 71106
(318) 683-0411
(318) 603-5461
Mailing address
255 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
(318) 603-5461
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
013305
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302929
—
LA
01
—
340012714
RAILROAD MEDICARE
LA
Enumeration date
06/20/2005
Last updated
03/24/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us