Individual
CURTIS A. PREJEAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2751 ALBERT L. BICKNELL DR., SUITE 5C, SHREVEPORT, LA 71103-3920
(318) 227-9777
(318) 459-1188
Mailing address
2751 ALBERT L. BICKNELL DR., SUITE 5C, SHREVEPORT, LA 71103-3920
(318) 227-9777
(318) 459-1188
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
015075
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A44098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A440980
BLUE SHIELD PIN
CA
05
—
00A440980
—
CA
01
—
00A440980F94
CAL OPTIMA NUMBER
CA
01
—
330005226
MEDICARE RAILROAD PIN
CA
Enumeration date
07/20/2006
Last updated
01/05/2009
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