Individual
FRANCES EDNA HAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2924 KNIGHT ST, BUILDING 3 SUITE 350, SHREVEPORT, LA 71105-2415
(318) 862-3053
(318) 862-3080
Mailing address
748 ERIE ST, SHREVEPORT, LA 71106-1814
(318) 861-2354
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
009429
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133140
—
LA
Enumeration date
08/30/2006
Last updated
09/20/2011
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