Individual
ALAN JOHN BORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
LA
05
—
074222301
—
TX
01
—
110043416
RAILROAD MEDICARE
LA
05
—
1330701
—
LA
Enumeration date
06/20/2005
Last updated
12/22/2010
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