Doctor Name: | ROBERT S. THORNTON |
NPI Number: | 1851397855 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 03480R |
Business Practice Address: | 2121 Line Ave Shreveport, LA - 711042126 |
Business Phone Number: | 3182269441 |
Business Fax Number: | 3184253236 |
Mailing Address: | 2121 Line Ave, SHREVEPORT |
State: | LA |
Postal Code: | 711042126 |
Phone Number: | 3182269441 |
Fax Number: | 3184253236 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 03480R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |