Individual
JEFFEREY D ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 314, SHREVEPORT, LA 71105-5634
(318) 798-4448
(318) 795-4713
Mailing address
PO BOX 837, HOWE, TX 75459-0837
(903) 487-2248
(903) 487-2306
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD020437
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
020437
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050089989
MEDICARE RAILROAD
LA
05
—
181033001
—
AR
05
—
190072202
—
TX
05
—
1915815
—
LA
Enumeration date
11/07/2005
Last updated
07/02/2013
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