Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD.013332 | LA |
NPI | 1003878075 |
---|---|
Provider Name | Mr. James Paul Swearingen JR. |
First Address | Shreveport, LA 71103-3907 |
Second Address | Shreveport, LA 71103-3907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 23/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B89834 | (02) | LA |