Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 1898 | LA |
NPI | 1356345250 |
---|---|
Provider Name | James F Batte |
First Address | Shreveport, LA 71105-5634 |
Second Address | Shreveport, LA 71105-5634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1818984 | (05) | LA |
T69598 | (02) | LA |