| Doctor Name: | DR. RALPH WILLARD BAUCUM |
| NPI Number: | 1295735793 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 019833 |
| Business Practice Address: | 1811 E Bert Kouns Suite 100 Shreveport, LA - 71115 |
| Business Phone Number: | 3182223695 |
| Business Fax Number: | 3184240717 |
| Mailing Address: | Po Box 51008, SHREVEPORT |
| State: | LA |
| Postal Code: | 711351008 |
| Phone Number: | 3187954607 |
| Fax Number: | 3182137276 |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 019833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |