Doctor Name: | JAMES SAMMUEL HARROLD |
NPI Number: | 1518917855 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 08572R |
Business Practice Address: | 1002 Highland Ave Shreveport, LA - 711014143 |
Business Phone Number: | 3182226226 |
Business Fax Number: | 3182218526 |
Mailing Address: | 5530 Lake Side Dr, BOSSIER CITY |
State: | LA |
Postal Code: | 711115504 |
Phone Number: | 3182226226 |
Fax Number: | 3182218526 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 08572R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |