Organization
ARK-LA-TEX CARDIOLOGY, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALAN BROWN M.D. (PRESIDENT/MANAGING PHYSICIAN)
(318) 798-9400
Entity
Organization
Contact information
Practice address
2727 HEARNE AVE, SUITE 300, SHREVEPORT, LA 71103-3917
(318) 798-9400
(318) 798-3894
Mailing address
PO BOX 51008, SHREVEPORT, LA 71135-1008
(318) 798-9400
(318) 798-3894
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075359201
—
TX
05
—
133625002
—
AR
05
—
1941611
—
LA
01
—
CD6899
RAILROAD MEDICARE
LA
Enumeration date
10/26/2005
Last updated
12/21/2011
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