Wallace H Brown Ii (NPI# 1114988995, PAC ID# 4981749645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1114988995 |
| PAC ID by PECOS | 4981749645 |
| Professional Enrollment ID | I20100920000322 |
| Full Name | Wallace H Brown Ii |
| Organization Legal Name | W. HAROLD BROWN AND BARRON J. O'NEAL (AMC) |
| Address |
2210 Line Ave Suite 200 Shreveport LA 71104-2134 |
| Phone Number | 3182219671 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1971 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 4082739107 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2210 Line Ave, Suite 200, Shreveport, LA 71104-2134 | 3182219671 | W. HAROLD BROWN AND BARRON J. O'NEAL (AMC) |
| Organization Legal Name | W. HAROLD BROWN AND BARRON J. O'NEAL (AMC) |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barron J O'neal | Plastic and Reconstructive Surgery | W. Harold Brown and Barron J. O'neal (amc) | 2210 Line Ave, Suite 200, Shreveport, LA 71104-2134 |
| Street Address |
2210 LINE AVE SUITE 200 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71104-2134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barron J O'neal | Plastic and Reconstructive Surgery | W. Harold Brown and Barron J. O'neal (amc) | 2210 Line Ave, Suite 200, Shreveport, LA 71104-2134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita M Marascalco King | Nurse Practitioner | Lsu Health Sciences Center-shreveport Faculty Group Practice | 2015 Fairfield Ave 2b Ptrs In Wellness, Lsu Hlth Sci Ctr Shreveport, Shreveport, LA 71104-2066 |
| Charles E Lyon | Ophthalmology | Charles E Lyon, Md, Apmc | 836 Olive St, Shreveport, LA 71104-2102 |
| Travis Jones | Optometry | Charles E Lyon, Md, Apmc | 836 Olive St, Shreveport, LA 71104-2102 |
| George R Merriman | General Surgery | 949 Olive St, Shreveport, LA 71104-2103 | |
| Laurence E Welker | Podiatry | 915 Olive St, Shreveport, LA 71104-2103 | |
| Thomas M Nosser | Chiropractic | 915 Olive St, Shreveport, LA 71104-2103 | |
| William Watkins | Otolaryngology | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Blakely Nelson Thornton | Otolaryngology | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Laura Wade | Qualified Audiologist | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Courtney Leigh Ross | Qualified Audiologist | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Find all physicians in zip 71104 | |||
| City | SHREVEPORT |
| Zip Code | 71104 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | SHREVEPORT + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Wallace H Brown Ii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.