Bundrick And O'Neal Plastic Surgery (Amc)

LBN: Bundrick And O'Neal Plastic Surgery (Amc)
Bundrick And O'Neal Plastic Surgery (Amc) is an health care organization with primary practice located at 2210 Line Ave Suite 204, Shreveport LA 71104-2152. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Bundrick And O'Neal Plastic Surgery (Amc) can be contacted via phone (318) 221-9671, or through Patterson, Jill via phone (318) 221-9671.

Contact Information

Primary practice address
2210 Line Ave Suite 204 Shreveport LA 71104-2152
Phone: (318) 221-9671
Fax: (318) 425-2343
Website:
Map and Directions
Authorized official contact:
Name: Patterson, Jill
Phone: (318) 221-9671

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1093776429
LBN Legal business name Bundrick And O'Neal Plastic Surgery (Amc)
DBA Doing business as
Authorized official Patterson, Jill
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2006
Last updated Jun 27th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093776429 NPPES
Louisiana MEDICAID 1798908

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