Individual
DR. THOMAS STEEN TRAWICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8525 LINE AVE, STE A, SHREVEPORT, LA 71106-0000
(318) 300-4926
(318) 383-3951
Mailing address
8525 LINE AVE, STE A, SHREVEPORT, LA 71106-0000
(318) 300-4926
(318) 300-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
023905
LA
207R00000X
Internal Medicine Physician
Primary
MD.1023905
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487473
—
LA
Enumeration date
07/08/2005
Last updated
09/05/2024
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