Doctor Name: | JOSE ALBA |
NPI Number: | 1053370023 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD013506 |
Business Practice Address: | 2600 Greenwood Rd Shreveport, LA - 711033908 |
Business Phone Number: | 3182124550 |
Business Fax Number: | |
Mailing Address: | Po Box 9600, Dept 09-033 TEXARKANA |
State: | TX |
Postal Code: | 755059600 |
Phone Number: | 8772438416 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2006 |
NPI Last Update Date: | 02/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MD013506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |