Individual
DR. RICHARD NELSON FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
335720
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
335720
LA
Other
Enumeration date
07/28/2011
Last updated
07/17/2023
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