Individual
DR. HAROLD OSCAR PADEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2125 AIRLINE DR, BOSSIER CITY, LA 71111-3105
(318) 773-9320
Mailing address
12141 ELLERBE RD, SHREVEPORT, LA 71115-9571
(318) 798-3753
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
05512R
LA
207Q00000X
Family Medicine Physician
05512R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530310
—
LA
01
—
24951
CDS
LA
Enumeration date
02/09/2006
Last updated
09/11/2025
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