| Doctor Name: | TODD JON OSWALD |
| NPI Number: | 1992750434 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2012-00915 |
| Business Practice Address: | 1541 E Kings Hwy Department Of Internal Medicine Shreveport, LA - 711053313 |
| Business Phone Number: | 3186757007 |
| Business Fax Number: | |
| Mailing Address: | 1541 East King's Hwy, Department Of Internal Medicine SHREVEPORT |
| State: | LA |
| Postal Code: | 71103 |
| Phone Number: | 3186757007 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2012-00915 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |