Individual
DR. MONICA L HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 E. BERT KOUNS, SHREVEPORT, LA 71105-5561
(318) 212-3930
(318) 212-3935
Mailing address
1717 E. BERT KOUNS, SHREVEPORT, LA 71105-5561
(318) 212-3930
(318) 212-3935
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
023737
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487082
—
LA
Enumeration date
07/07/2005
Last updated
07/19/2021
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