Charles R. Byrd Md A Professional

LBN: Charles R. Byrd Md A Professional
Charles R. Byrd Md A Professional is an health care organization with primary practice located at 2751 Albert L Bicknell Dr Ste 3-D, Shreveport LA 71103-3920. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Charles R. Byrd Md A Professional can be contacted via phone (318) 221-4755, or through Hawthorne, Kathy via phone (318) 221-4755.

Contact Information

Primary practice address
2751 Albert L Bicknell Dr Ste 3-D Shreveport LA 71103-3920
Phone: (318) 221-4755
Fax: (318) 424-3642
Website:
Map and Directions
Authorized official contact:
Name: Hawthorne, Kathy
Phone: (318) 221-4755

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1124042585
LBN Legal business name Charles R. Byrd Md A Professional
DBA Doing business as
Authorized official Hawthorne, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 26th, 2011 - about 13 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 1124042585 NPPES
Louisiana MEDICAID 1449768

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