Individual
PATRICK MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 212-9440
(318) 629-4833
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.203739
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06142
—
LA
Enumeration date
05/15/2008
Last updated
07/29/2024
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