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Individual

HAROLD K DOERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5533
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR0058597
CO
207L00000X
Anesthesiology Physician
FTL 42422
TX
207L00000X
Anesthesiology Physician
FTL 42831
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200563901
TX
01
200563902
CSHCN
TX
01
8AA336
BCBS
TX
01
DR0058597
BCBS
CO
Enumeration date
09/29/2008
Last updated
05/07/2024
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