GENTRY HAUGHTON LLC
NPI 1245503119
Podiatrist - Foot & Ankle Surgery in Shreveport, LA
- Organization
- Podiatrist
- Foot & Ankle Surgery
About GENTRY HAUGHTON LLC
This page provides the complete NPI Profile along with additional information for Gentry Haughton Llc, a provider established in Shreveport, Louisiana operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1245503119 assigned on February 2012. The practitioner's primary taxonomy code is 213ES0103X with license number 200048 (LA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Gentry Lee Haughton Dpm (Podiatrist)
- NPI
- 1245503119 Verify this NPI
- Provider Name
- GENTRY HAUGHTON LLC
- Entity Type
- Organization
- Location Address
- 592 UNADILLA ST SHREVEPORT, LA 71106
- Location Phone
- (318) 519-7555
- Mailing Address
- PO BOX 5237 SHREVEPORT, LA 71135
- Mailing Phone
- (318) 519-7555
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2012
- Last Update Date
- 07-18-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 200048
- License State
- LA
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245503119, enumerated as an "organization" on February 22, 2012.
The provider is located at 592 UNADILLA ST SHREVEPORT, LA 71106 and the phone number is (318) 519-7555.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.