Individual
REGINALD W BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4619
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C-6211
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C-6211
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117491001
—
AR
01
—
53633
MEDICARE ID
AR
Enumeration date
09/22/2006
Last updated
02/21/2025
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