Individual
DR. THOMAS JEFFREY BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9425 HEALTHPLEX DR, SUITE 101, SHREVEPORT, LA 71106-8148
(318) 683-5171
(318) 683-5182
Mailing address
9425 HEALTHPLEX DR, SUITE 101, SHREVEPORT, LA 71106-8148
(318) 683-5171
(318) 683-5182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L022545
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1493716
—
LA
Enumeration date
08/15/2005
Last updated
10/04/2011
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