Organization
ALAN J BORNE, M D, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J BORNE M.D. (PRESIDENT)
(318) 222-9205
Entity
Organization
Contact information
Practice address
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 440, SHREVEPORT, LA 71105-5740
(318) 222-9205
(318) 222-3625
Mailing address
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 440, SHREVEPORT, LA 71105-5740
(318) 222-9205
(318) 222-3625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015022
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400898
UNITED HEALTHCARE
—
05
—
074222301
—
TX
01
—
110043416
RAILROAD MEDICARE
—
05
—
1330701
—
LA
01
—
234735300
DEPARTMENT OF LABOR
—
01
—
4386850490
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/01/2007
Last updated
12/22/2010
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