Individual
JOHN G UNDERWOOD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9091 ELLERBE RD, STE 200, SHREVEPORT, LA 71106-6738
(318) 681-1630
(318) 681-1632
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L03841
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300675
—
LA
Enumeration date
03/23/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us