Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 14607R | LA |
Y | 208200000X | Surgeon | 14607R | LA |
Y | 208600000X | Surgeon | 14607R | LA |
NPI | 1033158837 |
---|---|
Provider Name | James R Barnes |
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 | 06/06/2006 |
Last Update Date | 11/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1437263 | (05) | LA |
F64564 | (02) | LA |