Individual
DR. RICHARD THOMAS SHIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2770 3RD AVE STE 120, LAKE CHARLES, LA 70601-8994
(337) 494-4868
(337) 494-4870
Mailing address
PO BOX 122342 DEPT 2342, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14655R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1140872
—
LA
01
—
MD.14655R
STATE MEDICAL LICENSE
LA
Enumeration date
02/25/2006
Last updated
04/28/2022
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