Organization
DRDHR INC
Active
Other names
REGIONAL RETINA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HONGWEI REN M.D., PH.D (PRESIDENT)
(318) 798-6699
Entity
Organization
Contact information
Practice address
7330 FERN AVE, SUITE 702, SHREVEPORT, LA 71105-4971
(318) 798-6699
Mailing address
7330 FERN AVE, SUITE 702, SHREVEPORT, LA 71105-4971
(318) 798-6699
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14570R
LA
Other
Enumeration date
07/10/2006
Last updated
11/02/2011
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