Individual
LUIS DE ALBA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
323563
LA
2085R0202X
Diagnostic Radiology Physician
Primary
323563
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2014
Last updated
01/26/2022
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