Individual
DR. DAVID RENGIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
343335
LA
207Y00000X
Otolaryngology Physician
U4321
TX
207YS0123X
Facial Plastic Surgery Physician
U4321
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
343335
LA
Other
Enumeration date
04/26/2018
Last updated
09/18/2024
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