Organization
MINIMALLY INVASIVE SURGERY CENTER OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROBERT BARNES M.D. (PRESIDENT)
(318) 227-2121
Entity
Organization
Contact information
Practice address
1534 ELIZABETH AVE STE 400, SHREVEPORT, LA 71101-4531
(318) 227-2121
Mailing address
PO BOX 1445, SHREVEPORT, LA 71164-1445
(318) 227-2121
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14607R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437263
—
LA
Enumeration date
09/21/2006
Last updated
08/22/2020
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