Individual
MR. PATRICK E. SEWELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3311 LINE AVE., SHREVEPORT, LA 71104
(318) 868-7740
(318) 868-7705
Mailing address
3311 LINE AVE., SHREVEPORT, LA 71104
(318) 868-7740
(318) 868-7705
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
010382
LA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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