Doctor Name: | PAULA E REMBERT |
NPI Number: | 1508863556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD018978 |
Business Practice Address: | 1453 E Bert Kouns Loop Suite 221 Shreveport, LA - 711056800 |
Business Phone Number: | 3187954766 |
Business Fax Number: | 3187954763 |
Mailing Address: | 1453 E Bert Kouns Loop, Suite 221 SHREVEPORT |
State: | LA |
Postal Code: | 711056800 |
Phone Number: | 3187954766 |
Fax Number: | 3187954763 |
NPI Enumeration Date: | 07/06/2005 |
NPI Last Update Date: | 02/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MD018978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |