Mook, Tommy Moses
Mook, Tommy Moses is an individual health care provider with primary practice located at 255 Bert Kouns Loop , Shreveport LA 71106-8150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mook, Tommy Moses can be contacted via phone (318) 683-0411.Contact Information
Primary practice address
255 Bert Kouns Loop
Shreveport LA 71106-8150
Phone: (318) 683-0411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 012205 | Louisiana |
Profile Details
| NPI number | 1871598342 |
|---|---|
| LBN Legal business name | Mook, Tommy Moses |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Mar 24th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871598342 | NPPES |
| Louisiana | MEDICAID | 1146005 | |
| Louisiana | Other | 340012656 |
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